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Review
. 2020 Apr-Jun;61(2):551-554.
doi: 10.47162/RJME.61.2.26.

Multiple and giant coronary artery aneurysm - case report and a review of the literature

Elena Emilia Babeş  1 , Victor Vlad Babeş, Mihaela Mirela Zdrîncă, Ilarie Brihan, Răzvan Marius Vicaş, Monica Adriana Motorca, Larisa Renata Pantea-Roşan, Alina Cristiana Venter
Affiliations
Review

Multiple and giant coronary artery aneurysm - case report and a review of the literature

Elena Emilia Babeş et al. Rom J Morphol Embryol. 2020 Apr-Jun.

Abstract

We report an unusual case of a 70-year-old female patient admitted in the Department of Cardiology, Emergency County Hospital, Oradea, Romania, for unstable angina and heart failure. Coronary angiography and computed tomography revealed multiple coronary artery aneurysms, some of them giant, associated with significant coronary artery disease. Coronary artery aneurysm is a rare disease, but the frequency of diagnostic increased with the development of coronary angiography. However, very rarely coronary artery aneurysm is very large and can be termed "giant aneurysm", and a small number of reports have been described in literature. The management and the prognosis of the disease is still controversial.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Figure 1
Figure 1
Coronary angiography. Left anterior cranial view demonstrating a giant aneurysm in the proximal part of the ACX, with transversal diameter of 16 mm and longitudinal diameter of 35 mm. LAD presents a coronary aneurysm in the proximal segment with transversal diameter of 4 mm and longitudinal diameter of 5 mm. LAD is completely occluded after the emergency of the first diagonal branch. The first diagonal artery is completely occluded after a second saccular aneurysm with transversal diameter of 5 mm and longitudinal diameter of 3 mm. ACX: Circumflex artery; ANV: Aneurysm; LAD: Left anterior descending artery
Figure 2
Figure 2
Coronary angiography. Left anterior oblique view. The RCA presents in the vertical segment an aneurysmal dilatation with transversal diameter of 7.7 mm and longitudinal diameter of 25 mm, followed by another aneurysmal dilatation with a transversal diameter of 5.3 mm and longitudinal diameter of 7 mm. Retrograde flow from RCA to LAD. ANV: Aneurysm; LAD: Left anterior descending artery; RCA: Right coronary artery
Figure 3
Figure 3
Multislice computed tomography with intravenous contrast. Axial sections. Saccular giant aneurysm of the circumflex artery with the largest transversal diameter of 44 mm and a filling defect on the right lateral wall of 28 mm (thrombus), and calcification of the aneurysmal wall
Figure 4
Figure 4
Multislice computed tomography with intra-venous contrast. Coronal multiplanar reconstruction. Giant aneurysm of the circumflex coronary artery with an important amount thrombus
Figure 5
Figure 5
Multislice computed tomography with contrast. Sagittal multiplanar reconstruction. Giant aneurysm of the left circumflex coronary artery with thrombus
See this image and copyright information in PMC

References

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