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Case Reports
. 2013 Jul-Aug;32(7-8):629-32.
doi: 10.1016/j.repc.2012.11.009. Epub 2013 Jul 25.

Diffuse aneurysmal and obstructive coronary artery disease: a do-not-intervene patient

Eulália Pereira  1 , Bruno Melica, João Primo, João C Mota, Nuno Ferreira, Gustavo P Morais, Marta Ponte, Daniel Caeiro, Mónica Carvalho, Nuno Bettencourt, Luís Vouga, Vasco Gama
Affiliations
Case Reports

Diffuse aneurysmal and obstructive coronary artery disease: a do-not-intervene patient

Eulália Pereira et al. Rev Port Cardiol. 2013 Jul-Aug.

Abstract

Coronary artery aneurysms are uncommon but potentially hazardous entities found on a small percentage of coronary angiograms. The best management strategy remains to be determined; the coexistence of obstructive coronary artery disease is the main determinant of prognosis. We report the case of a middle-aged woman with mixed aneurysmal and obstructive coronary artery disease presenting as an acute myocardial infarction, probably due to atherosclerosis. The unusual severity and complexity of the angiographic presentation of this case, with involvement of all major coronary arteries, raises important issues in terms of the patient's treatment options.

Keywords: Acute myocardial infarction; Aneurismas coronários; Aterosclerose; Atherosclerosis; Coronary artery aneurysms; Enfarte agudo do miocárdio.

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