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Kato T, Takama N, Aihara K, Harada T, Obokata M, Kurabayashi M, Murakami M. Mycotic coronary artery aneurysm causing chest pain detected by transthoracic echocardiography: a potential blind spot of routine screening in parasternal short axis view. J Med Ultrason (2001) 2020; 47:649-651. [PMID: 32989595 DOI: 10.1007/s10396-020-01053-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Accepted: 08/28/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Toshimitsu Kato
- Department of Clinical Laboratory, Gunma University Hospital, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
| | - Noriaki Takama
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Kazufumi Aihara
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Tomonari Harada
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Masaru Obokata
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Masahiko Kurabayashi
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Masami Murakami
- Department of Clinical Laboratory, Gunma University Hospital, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan
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Nakamura K, Orii K, Abe T, Haida H. Successful sparing approach between the ascending aorta and the main pulmonary artery to the giant coronary aneurysm of the left main coronary artery. BMJ Case Rep 2020; 13:13/4/e234203. [PMID: 32332046 PMCID: PMC7202720 DOI: 10.1136/bcr-2019-234203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Coronary aneurysm located just above the left main coronary artery (LMT) is rare and difficult to treat. How the aneurysm is accessed is very important as it determines the result of the surgery. A 70-year-old man with a large coronary aneurysm (40 mm in diameter) in the LMT underwent surgery to prevent its rupture; however, there was severe adhesion. Initially, dissection of the ascending aorta or the pulmonary artery seemed necessary to access the aneurysm; however, the process was possible with limited dissection between the ascending aorta and the pulmonary artery, and we succeeded in firmly closing the LMT site of entry.
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Affiliation(s)
- Ken Nakamura
- Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan
| | - Kouan Orii
- Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan
| | - Takayuki Abe
- Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan
| | - Hirofumi Haida
- Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan
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Liu J, Wang X, Sun D, Yang J. Dual Aneurysms of the Left Anterior Descending Coronary Artery Initially Detected by Echocardiography. Int Heart J 2019; 60:778-783. [PMID: 31019166 DOI: 10.1536/ihj.18-401] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Echocardiographic detection of abnormalities occurring medially and distally in coronary arteries is uncommon and is not well recognized. Herein, we describe an 87-year-old woman with two distinct aneurysms involving a branch of the left anterior descending coronary artery (LAD), one of which communicated with the pulmonary artery (PA). Initially determined via transthoracic echocardiography (TTE), these findings were subsequently validated by coronary computed tomography angiography (CTA). We also present a review of the published studies of multiple coronary artery aneurysms (CAAs) exceeding 20 mm in diameter, focusing on the location, etiology, symptoms, and common ultrasonic characteristics of 30 cases. Echocardiography is a valuable, noninvasive technique for initial detection, monitoring, and follow-up of CAAs, serving to direct further diagnostics.
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Affiliation(s)
- Juanjuan Liu
- Department of Cardiovascular Ultrasound, The First Hospital of China Medical University
| | - Xiaobing Wang
- Department of Cardiovascular Ultrasound, The First Hospital of China Medical University
| | - Dandan Sun
- Department of Cardiovascular Ultrasound, The First Hospital of China Medical University
| | - Jun Yang
- Department of Cardiovascular Ultrasound, The First Hospital of China Medical University
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Afzal A, Mobin S, Sharbatji M, Nawaz H, Siddiqui M. Rare Case of Giant Asymptomatic Left Coronary Artery Aneurysm of 10 cm Associated with Coronary Cameral Fistula. Cureus 2018; 10:e3566. [PMID: 30648098 PMCID: PMC6329617 DOI: 10.7759/cureus.3566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
A giant coronary artery aneurysm (CAA) associated with a coronary cameral fistula is an extremely rare finding. Most cases of CAAs are asymptomatic. The incidence of CAA varies between 0.3% to 5.3%. Due to advancements in diagnostic technologies, the incidence of CAA is on the rise. Even in the modern days of medical science, the clinical course of CAA is still unpredictable and the suitable timing for the treatment of CAA is still open to debate. We reported a case of a giant coronary artery aneurysm in a 38-year-old female, which was 9.4 x 9.7 x 9.2cm in size, arising from the left coronary artery, extending into the proximal circumflex, and draining into the right atrium, forming a fistula tract. The patient was diagnosed with the help of coronary computed tomography (CT) and cardiac catheterization after which surgery was performed to repair the aneurysm and fistula. Postoperatively, the patient recovered without any complication.
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Affiliation(s)
- Ali Afzal
- Internal Medicine, Florida Hospital, Orlando, USA
| | - Syed Mobin
- Internal Medicine, University of Central Florida College of Medicine, Orlando, USA
| | | | - Hussain Nawaz
- Internal Medicine, Aga Khan University Hospital, Lahore, PAK
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Zhou Z, Xu L, Zhang N, Wang H, Liu W, Sun Z, Fan Z. CT coronary angiography findings in non-atherosclerotic coronary artery diseases. Clin Radiol 2017; 73:205-213. [PMID: 28797768 DOI: 10.1016/j.crad.2017.07.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 07/02/2017] [Accepted: 07/06/2017] [Indexed: 12/19/2022]
Abstract
Non-atherosclerotic coronary artery diseases are being increasingly recognised as causes of acute coronary events. Invasive coronary angiography frequently fails to identify the abnormalities in the proximal course of coronary arteries and coronary wall, while computed tomography coronary angiography (CTCA) allows for acquisition of more detailed information. CTCA serves as a reliable method for evaluating patients with non-atherosclerotic coronary artery diseases. The purpose of this article is to provide an overview of non-atherosclerotic abnormalities that may be demonstrated on CTCA.
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Affiliation(s)
- Z Zhou
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China
| | - L Xu
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
| | - N Zhang
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China
| | - H Wang
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China
| | - W Liu
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China
| | - Z Sun
- Department of Medical Radiation Sciences, Curtin University, Perth, WA 6845, Australia
| | - Z Fan
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China
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Janík M, Hejna P, Ublová M, Šteiner I. Multiple Giant Coronary Artery Aneurysms: A Rare Cause of Sudden Cardiac Death. J Forensic Sci 2016; 62:515-518. [PMID: 27859306 DOI: 10.1111/1556-4029.13264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Revised: 05/06/2016] [Accepted: 05/15/2016] [Indexed: 11/29/2022]
Abstract
Multiple giant aneurysms involving the coronary arteries are uncommon and rarely reported. In the presented case, a 63-year-old man with poorly controlled hypertension died suddenly. Gross autopsy examination showed multiple giant thrombus-filled coronary artery aneurysms, atherosclerotic coronary artery disease, and cardiomegaly. Histological sections of the coronary aneurysms showed atherosclerotic changes with both organized and fresh thrombus. Giant coronary aneurysm is defined as a segmental enlargement of a coronary artery with a diameter exceeding 20 mm or more. The main etiology of this nebulous entity is attributed to atherosclerosis and inflammatory or inherited connective tissue disorders with the remainder being congenital, infectious, or idiopathic. Before its cataclysmic presentation, when ruptured or thrombosed, giant coronary aneurysm usually has a silent clinical course. Sudden death owing to giant multiple coronary aneurysms is rare and mandates careful classification of the aneurysms and prudent search for autoimmune-mediated or genetically based factors for subsequent ancillary autopsy studies.
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Affiliation(s)
- Martin Janík
- Department of Forensic Medicine and Medicolegal Expertises, Jessenius Faculty of Medicine, Comenius University, University Hospital, Martin, Slovak Republic
| | - Petr Hejna
- Department of Forensic Medicine, Faculty of Medicine, Charles University and University Hospital, Hradec Kralove, Czech Republic
| | - Michaela Ublová
- Department of Forensic Medicine, Faculty of Medicine, Charles University and University Hospital, Hradec Kralove, Czech Republic
| | - Ivo Šteiner
- The Fingerland Department of Pathology, Faculty of Medicine, Charles University and University Hospital, Hradec Kralove, Czech Republic
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7
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Anticoagulant therapy: Is there always a best choice? Int J Cardiol 2016; 215:291-2. [DOI: 10.1016/j.ijcard.2016.04.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 04/13/2016] [Indexed: 11/18/2022]
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Pizzi G, Cotruzzola AM, Battaglia V. Thrombophilias and new oral anticoagulants, a safe alternative to warfarin? Int J Cardiol 2016; 220:569-70. [PMID: 27390989 DOI: 10.1016/j.ijcard.2016.06.299] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2016] [Accepted: 06/28/2016] [Indexed: 11/24/2022]
Affiliation(s)
- G Pizzi
- Division of Anesthesiology and Intensive Care, Hospital "Madonna della Consolazione", Reggio Calabria, Italy.
| | | | - V Battaglia
- Division of Anesthesiology and Intensive Care, Hospital "Madonna della Consolazione", Reggio Calabria, Italy
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Romano P, Messina F, Crosca S. Oral anticoagulant therapy and thrombosis. A case of failure of therapy with vitamin K antagonists. Int J Cardiol 2016; 203:1158-9. [PMID: 26608008 DOI: 10.1016/j.ijcard.2015.06.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 06/30/2015] [Indexed: 11/30/2022]
Affiliation(s)
- P Romano
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - F Messina
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - S Crosca
- Internal Medicine Unit, Hospital of Lipari, ASP 5, Messina, Italy.
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