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. 2014 Nov-Dec;66(6):727-30.
doi: 10.1016/j.ihj.2014.11.003. Epub 2014 Dec 17.

Giant coronary artery aneurysms involving all three coronary arteries

J Veenu  1 , Gurappa G Shetty  2 , Srilakshmi M Adhyapak  3 , Santhosh M Jayadev  4 , Kiron Varghese  2 , Chandrakant B Patil  5
Affiliations

Giant coronary artery aneurysms involving all three coronary arteries

J Veenu et al. Indian Heart J. 2014 Nov-Dec.

Abstract

Coronary artery aneurysm is defined as any coronary artery dilation exceeding the diameter of normal adjacent segments or the diameter of the largest coronary artery by 1.5 times. Giant coronary aneurysm refers to an aneurysm with a diameter larger than 20 mm. Giant coronary artery aneurysms have an incidence of 0.02%-2%. Here we describe a patient who had giant coronary aneurysms involving all three coronary arteries. He was managed conservatively with no cardiac events on a follow up of 1 year.

Keywords: Atherosclerosis; Coronary artery aneurysm; Non ST elevation myocardial infarction.

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Figures

Fig. 1
Fig. 1
Echocardiographic parasternal short axis view at the level of the aortic valve. The LAD and LCX are aneurysmal and seen in relation to the left coronary sinus.
Fig. 2
Fig. 2
RAO caudal view during coronary angiogram showing the aneurysms of both LAD and LCX with a 95% stenosis of distal LCX distal to the stenosis.
Fig. 3
Fig. 3
LAO view of coronary angiogram showing the RCA aneurysm involving its entire length.
Fig. 4
Fig. 4
CT angiogram showing the aneurysms in the proximal LCX and Proximal LAD.
Fig. 5
Fig. 5
CT angiogram showing the aneurysm of the RCA involving its entire length.
See this image and copyright information in PMC

References

    1. Syed M., Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997;40:77–84. - PubMed
    1. Li D., Wu Q., Sun L. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg. 2005;130:817–821. - PubMed
    1. Packard M., Wechsler H. Aneurysms of coronary arteries. Arch Intern Med. 1929;43:1.
    1. Principal Investigators of CASS and their Associates National heart, lung, and blood institute coronary artery surgery study. Circulation. 1981;63(Suppl. II) Il-1.
    1. Sharma S.N. Coronary arteriographic profile in young and old Indian patients with ischaemic heart disease: a comparative study. Indian Heart J. 1990;42:365–369. - PubMed

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