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Case Reports
. 2022 May 6;14(5):e24790.
doi: 10.7759/cureus.24790. eCollection 2022 May.

Left Main Coronary Artery Fusiform Aneurysm

Miguel A Rodriguez Guerra  1 , Ana P Urena Neme  2 , Michael Victoria  3 , Gabriella Roa Gomez  4 , Giancarlo Acosta  5
Affiliations
Case Reports

Left Main Coronary Artery Fusiform Aneurysm

Miguel A Rodriguez Guerra et al. Cureus. .

Abstract

Aneurysm of the coronary artery is an uncommon condition that is usually found incidentally. The left coronary aneurysm is the least common. We report the case of a young patient with a history of vasculitis who was found to have a left fusiform coronary aneurysm. This is a 20-year-old female who has a history of polyarteritis nodosa and who came due to shortness of breath associated with chest discomfort. The physical exam was only relevant for multiple joint pains and tenderness. An echocardiogram showed a possible coronary aneurysm that was confirmed on the angio-tomography. The patient was discharged without complications. The left main coronary artery aneurysm is a rare condition and the least common of the coronary aneurysms. There is no established guideline for screening and therapy of these aneurysms, but invasive methods are not a preferred method for follow-up on this condition.

Keywords: coronary aneurysm; fusiform coronary aneurysm; left main coronary artery aneurysm; polyarteritis nodosom; vasculitis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Echocardiogram showing a possible left main aneurysm.
Yellow arrow indicated the possible left main aneurism.
Figure 2
Figure 2. CTA coronaries show the aortic root and the left coronary aneurysm.
Red circle indicates the left main fusiform aneurysm. CTA: computed tomography angiography.
Figure 3
Figure 3. CTA coronaries showing the ventriculogram and the left coronary fusiform aneurysm.
Yellow arrow indicates the fusiform aneurysm. CTA: computed tomography angiography.
See this image and copyright information in PMC

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