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Pala B, Tocci G, Bruno N, Barbato E, Gabrielli D. Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review. Clin Res Cardiol 2024; 113:1092-1098. [PMID: 38526602 DOI: 10.1007/s00392-024-02418-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Accepted: 02/16/2024] [Indexed: 03/26/2024]
Affiliation(s)
- Barbara Pala
- Hypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy
| | - Giuliano Tocci
- Hypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy.
| | - Noemi Bruno
- Division of Cardiology, San Camillo Forlanini Hospital, Rome, Italy
| | - Emanuele Barbato
- Hypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy
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Jalalzai I, Kilic Y, Sönmez E, Çelik F, Erkut B. Giant Right Coronary Artery Aneurysm in a Patient With Multiple Coronary Artery Aneurysmatic Dilatations. Cureus 2023; 15:e51390. [PMID: 38292949 PMCID: PMC10826248 DOI: 10.7759/cureus.51390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/31/2023] [Indexed: 02/01/2024] Open
Abstract
One kind of coronary artery disease that is uncommon is coronary artery aneurysm (CAA). According to angiographic reports, the incidence of coronary artery aneurysms ranges from 1.5% to 4.9%, with a higher frequency in men. A patient with both coronary heart disease and an aneurysm in the right coronary artery (RCA) underwent a successful simultaneous coronary bypass together with an aneurysmal reconstruction procedure.
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Affiliation(s)
| | - Yasin Kilic
- Cardiovascular Surgery, Ataturk University Hospital, Erzurum, TUR
| | - Ebubekir Sönmez
- Cardiovascular Surgery, Ataturk University Hospital, Erzurum, TUR
| | - Furkan Çelik
- Cardiovascular Surgery, Ataturk University Hospital, Erzurum, TUR
| | - Bilgehan Erkut
- Cardiovascular Surgery, Ataturk University Hospital, Erzurum, TUR
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Babeş EE, Babeş VV, Zdrîncă MM, Brihan I, Vicaş RM, Motorca MA, Pantea-Roşan LR, Venter AC. Multiple and giant coronary artery aneurysm - case report and a review of the literature. ROMANIAN JOURNAL OF MORPHOLOGY AND EMBRYOLOGY 2021; 61:551-554. [PMID: 33544808 PMCID: PMC7864292 DOI: 10.47162/rjme.61.2.26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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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Affiliation(s)
- Elena Emilia Babeş
- Department of Cardiology, Department of Interventional Cardiology, Emergency County Hospital, Oradea, Romania; ,
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Meel R, Lorentz L, Gonçalves R. Multimodality Imaging of a Giant Circumflex Coronary Artery Aneurysm in a Septuagenarian. CASE 2020; 4:236-239. [PMID: 32875188 PMCID: PMC7451935 DOI: 10.1016/j.case.2020.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Coronary artery aneurysm is a possible differential diagnosis for chest pain. Echocardiography allows bedside detection of coronary artery aneurysm. Cardiac CT permits detailed assessment of a coronary artery aneurysm.
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Affiliation(s)
- Ruchika Meel
- Division of Cardiology, Department of Internal Medicine, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg, South Africa
| | - Liam Lorentz
- Department of Radiology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg, South Africa
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Libertini R, Wallbridge D, Jones HR, Gunning M, Satur CM. Giant Circumflex Artery Aneurysm With a Coronary Sinus Fistula. Ann Thorac Surg 2018; 106:e223-e225. [DOI: 10.1016/j.athoracsur.2018.04.038] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 04/12/2018] [Indexed: 10/16/2022]
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Gadepalli R, Rayidi G, Pramod G, Srivastava SK, Venkata Balakrishna SN. A case of early development of giant coronary artery aneurysms after drug-eluting stents implantation: An unpredictable menace. Interv Med Appl Sci 2017; 9:47-50. [PMID: 28932496 PMCID: PMC5598122 DOI: 10.1556/1646.9.2017.1.10] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Development of coronary artery aneurysm (CAA) after implantation of drug-eluting stent is occasionally observed. We present a case of a 67-year-old man who underwent everolimus-eluting stent (EES) implantation in right coronary artery (RCA) for inferior wall myocardial infarction, and thereafter, giant CAAs were developed in the vessel of stent deployment, within 2 months. However, the patient was managed with coronary artery bypass grafting (CABG). On follow-up, the patient's condition was stable. To the best of our knowledge, we report the first case of occurrence of EES-associated giant CAAs in RCA subsequently treated with CABG.
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Affiliation(s)
- Ramesh Gadepalli
- Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India
| | - Gopikrishna Rayidi
- Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India
| | - Gururaj Pramod
- Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India
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Abstract
INTRODUCTION Coronary artery aneurysm (CAA) is defined as coronary dilatation which exceeds the diameter of the normal adjacent artery segments or the diameter of the patient's largest coronary artery by 1.5 times. The incidence of giant CAA is difficult to be determined, since only few reports have been described in the literature. METHODS AND RESULTS A 65-year-old man was referred to our hospital because of a "mass" in the right heart detected on echocardiography at a regular medical health examination, while he experienced no any symptoms. Coronary angiography showed the severe stenosis of the left anterior descending artery (LAD) and the left circumflex artery (LCX) and the diffusely ectatic change of the right coronary artery (RCA), but no mass was found in any of these arteries. Coronary computed tomography angiography (CTA) confirmed that the "mass" was the giant aneurysms of RCA with thrombus. He received coronary artery bypass graft (CABG) with thrombectomy. The histopathology showed the deposits of lipid and hyalin in the tunica intima, the focal calcifications, the very thin tunica media, and the disappearance of the part of the tunica media in the RCA. CONCLUSIONS Coronary artery aneurysm which may contain thrombus can complicate a diagnostic coronary angiography due to the risk of distal embolization and may lead to myocardial infarction. This case report demonstrates 2 RCA aneurysms with a thrombus presenting as a giant "mass" which was successfully treated by CABG with thrombectomy.
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Affiliation(s)
- Huanhuan Wang
- Division of Cardiology
- Correspondence: Huanhuan Wang, Division of Cardiology, Fuwai Hospital, National Center for Cardiovascular Disease, Beijing, China (e-mail: )
| | | | | | - Hongyue Wang
- Division of Pathology, Fuwai Hospital, National Center for Cardiovascular Disease, Beijing, China
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Biswas M, Sethi A, Voyce SJ. Spontaneous coronary artery dissection: case report and review of literature. Heart Views 2012; 13:149-54. [PMID: 23439852 PMCID: PMC3573361 DOI: 10.4103/1995-705x.105737] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Spontaneous coronary artery dissection (SCAD) is an unusual cause of acute coronary syndrome or sudden cardiac death. SCAD has most frequently been described as presenting as an acute coronary syndrome in females during the peripartum period. It may also be associated with autoimmune and collagen vascular diseases, Marfan's syndrome, chest trauma, and intense physical exercise. The most common presentation of SCAD is the acute onset of severe chest pain associated with autonomic symptoms. This condition has a high mortality rate if not identified and treated promptly. Here, we present a case of SCAD presenting with stroke, followed by a brief review.
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Affiliation(s)
- Monodeep Biswas
- Department of Internal Medicine and Cardiology, Community Medical Center, Pennsylvania, USA
- The Wright Center for Graduate Medical Education, Pennsylvania, USA
| | - Arjinder Sethi
- Department of Internal Medicine and Cardiology, Community Medical Center, Pennsylvania, USA
- The Wright Center for Graduate Medical Education, Pennsylvania, USA
- The Commonwealth Medical College, Pennsylvania, USA
| | - Stephen J. Voyce
- Department of Internal Medicine and Cardiology, Community Medical Center, Pennsylvania, USA
- The Wright Center for Graduate Medical Education, Pennsylvania, USA
- The Commonwealth Medical College, Pennsylvania, USA
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Morita H, Ozawa H, Yamazaki S, Yamauchi Y, Tsuji M, Katsumata T, Ishizaka N. A case of giant coronary artery aneurysm with fistulous connection to the pulmonary artery: a case report and review of the literature. Intern Med 2012; 51:1361-6. [PMID: 22687842 DOI: 10.2169/internalmedicine.51.7134] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Giant coronary artery aneurysm is a rare condition with a reported prevalence of 0.02%. Herein, we report the case of a 79-year-old woman with a giant coronary aneurysm arising from a branch of the left anterior descending coronary artery that had a fistulous connection to the pulmonary artery. The aneurysm was removed and inflow and outflow arteries were closed surgically. Histology showed prominent mucinous degeneration and infiltration of inflammatory cells in the medial layer. After successful surgery, the patient was discharged uneventfully.
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