Giant coronary aneurysms producing chest pain.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B3A05606F45A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Giant coronary aneurysms producing chest pain.
Journal
Journal of cardiothoracic surgery
Author(s)
Pfister R., Sadeghi Y., Orrit J., Prêtre R.
ISSN
1749-8090 (Electronic)
ISSN-L
1749-8090
Publication state
Published
Issued date
08/03/2019
Peer-reviewed
Oui
Volume
14
Number
1
Pages
52
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
Coronary artery aneurysms (CAA) are defined as localized coronary artery dilations more than 1.5 times the diameter of the adjacent segments [1]. Giant coronary aneurysms (GCAA) are unusual and aneurysms on the left side are even rarer. Mechanisms are unclear, but seem predominated by atherosclerosis. Until now, management of giant coronary aneurysm is still unclear.
A 62-year-old man, presented a 4-month history of progressive chest pain aggravated by physical CAAs: 3 on the right coronary artery (RCA), including a giant one, and one on the intermediate branch. Intraoperatively, we found two proximal RCA CAAs of 2 cm each, a 6 cm distal RCA CAA partially thrombosed, and a 3 cm CAA on the intermediate branch. The two largest CAAs were resected and two saphenous graft bypasses were performed.
Treatment options include medical treatment (antiaggregation, anticoagulation), percutaneous coronary angioplasty and surgery. Results of observational or conservative management in the few cases of GCAA described in literature, appear to have poor results. Surgery is a good option with low operative risk, especially in giant coronary aneurysms.
Keywords
Angina Pectoris/etiology, Coronary Aneurysm/complications, Coronary Aneurysm/diagnostic imaging, Coronary Aneurysm/surgery, Coronary Angiography, Coronary Artery Bypass, Coronary Artery Disease/diagnostic imaging, Coronary Artery Disease/surgery, Humans, Male, Middle Aged, Coronary bypass, Coronary ectasia, Giant coronary aneurysm
Pubmed
Web of science
Open Access
Yes
Create date
25/03/2019 17:14
Last modification date
20/08/2019 15:22
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