Giant left main coronary artery aneurysm
Introduction. Coronary artery aneurysms (CAAs) are rare disorders, especially the left main CAA. In the literature, there are several reported cases with CAAs, various localization, size, clinical presentation, and way of treatment. There is no unique consensus about the most adequate treatment for...
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| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2023-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200097A.pdf |
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| author | Anđelković Kristina Drašković Danijela Kočica Mladen Radovanović Jovana Ivanović Branislava |
| author_facet | Anđelković Kristina Drašković Danijela Kočica Mladen Radovanović Jovana Ivanović Branislava |
| author_sort | Anđelković Kristina |
| collection | DOAJ |
| description | Introduction. Coronary artery aneurysms (CAAs) are rare disorders, especially the left main CAA. In the literature, there are several reported cases with CAAs, various localization, size, clinical presentation, and way of treatment. There is no unique consensus about the most adequate treatment for these patients; however, surgery is still preferable, although there are some new experiences of percutaneous treatment. The decision is made for each patient individually. We report a case of giant left main CAA, with acute coronary syndrome and heart failure presentation, surgically treated. Case report. A 66-year-old female patient was admitted to the emergency department of our clinic due to chest pain and dyspnea. Acute non-ST-elevation segment myocardial infarction (STEMI) of anterolateral localization was diagnosed (creatine kinase max 1,111 U/L, troponin T 3.754 ng/mL), complicated with acute heart failure. Heart catheterization and coronary angiography revealed a giant saccular, 3.5 × 3.5 mm left main CAA full with thrombi, compressing the proximal segments of the left anterior descending and circumflex artery. Conclusion. Giant left main CAAs are rare pathologic findings, and there are no established principles for treatment. Although the percutaneous way of treatment is now available in selected cases, the surgical approach is still preferred for these patients. |
| format | Article |
| id | doaj-art-c4619efa44c24f8c86b9eb1e5d205324 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-c4619efa44c24f8c86b9eb1e5d2053242025-08-20T03:23:03ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-0180871271610.2298/VSP220725097A0042-84502200097AGiant left main coronary artery aneurysmAnđelković Kristina0Drašković Danijela1Kočica Mladen2https://orcid.org/0000-0002-1391-5053Radovanović Jovana3Ivanović Branislava4University Clinical Center of Serbia, Cardiology Clinic, Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, Belgrade, SerbiaUniversity Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity Clinical Center of Serbia, Cardiology Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia Introduction. Coronary artery aneurysms (CAAs) are rare disorders, especially the left main CAA. In the literature, there are several reported cases with CAAs, various localization, size, clinical presentation, and way of treatment. There is no unique consensus about the most adequate treatment for these patients; however, surgery is still preferable, although there are some new experiences of percutaneous treatment. The decision is made for each patient individually. We report a case of giant left main CAA, with acute coronary syndrome and heart failure presentation, surgically treated. Case report. A 66-year-old female patient was admitted to the emergency department of our clinic due to chest pain and dyspnea. Acute non-ST-elevation segment myocardial infarction (STEMI) of anterolateral localization was diagnosed (creatine kinase max 1,111 U/L, troponin T 3.754 ng/mL), complicated with acute heart failure. Heart catheterization and coronary angiography revealed a giant saccular, 3.5 × 3.5 mm left main CAA full with thrombi, compressing the proximal segments of the left anterior descending and circumflex artery. Conclusion. Giant left main CAAs are rare pathologic findings, and there are no established principles for treatment. Although the percutaneous way of treatment is now available in selected cases, the surgical approach is still preferred for these patients.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200097A.pdfcardiac catheterizationcoronary aneurysmcoronary angiographycardiac surgical proceduresdiagnosisnon-st elevated myocardial infarction |
| spellingShingle | Anđelković Kristina Drašković Danijela Kočica Mladen Radovanović Jovana Ivanović Branislava Giant left main coronary artery aneurysm Vojnosanitetski Pregled cardiac catheterization coronary aneurysm coronary angiography cardiac surgical procedures diagnosis non-st elevated myocardial infarction |
| title | Giant left main coronary artery aneurysm |
| title_full | Giant left main coronary artery aneurysm |
| title_fullStr | Giant left main coronary artery aneurysm |
| title_full_unstemmed | Giant left main coronary artery aneurysm |
| title_short | Giant left main coronary artery aneurysm |
| title_sort | giant left main coronary artery aneurysm |
| topic | cardiac catheterization coronary aneurysm coronary angiography cardiac surgical procedures diagnosis non-st elevated myocardial infarction |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200097A.pdf |
| work_keys_str_mv | AT anđelkovickristina giantleftmaincoronaryarteryaneurysm AT draskovicdanijela giantleftmaincoronaryarteryaneurysm AT kocicamladen giantleftmaincoronaryarteryaneurysm AT radovanovicjovana giantleftmaincoronaryarteryaneurysm AT ivanovicbranislava giantleftmaincoronaryarteryaneurysm |