Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome: An Unusual Case of IgG4-Related Disease Vascular Involvement

2018 ◽  
Vol 34 (8) ◽  
pp. 1088.e7-1088.e10 ◽  
Author(s):  
Aureliano Ruggio ◽  
Antonio Iaconelli ◽  
Elena Panaioli ◽  
Filippo Bernardini ◽  
Giovanni Tinelli ◽  
...  
Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.


2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kostas Kostopanagiotou ◽  
Aikaterini Poulou ◽  
Andrew Chatzis ◽  
Mazen Khoury

Coronary artery aneurysms are encountered in daily cardiology practise but multiple giant-sized coronary artery aneurysms are extremely rare. We present an illustrative case of multiple giant aneurysms located throughout the coronary system (left main stem and all left, right, and circumflex branches) in a 57-year-old male with acute coronary syndrome. The case was managed successfully with on-pump quadruple coronary artery bypass grafting. To our knowledge, few cases of multiple giant aneurysms in all coronary vessels have been reported.


2014 ◽  
Vol 113 (7) ◽  
pp. S125-S126
Author(s):  
A.B. Nacar ◽  
S. Topcu ◽  
Ş. Büyükkaya ◽  
M. Kurt ◽  
E. Büyükkaya ◽  
...  

2018 ◽  
Vol 2 (2) ◽  
pp. 85-90
Author(s):  
Pankaj Jariwala ◽  
Edla Arjun Padmakumar ◽  
Adluri Rajeshwara Krishnaprasad

2016 ◽  
Vol 101 (4) ◽  
pp. e95-e97 ◽  
Author(s):  
Peter Chiu ◽  
Donald Lynch ◽  
Jama Jahanayar ◽  
Ian S. Rogers ◽  
Jennifer Tremmel ◽  
...  

2016 ◽  
Vol 55 (12) ◽  
pp. 1605-1609 ◽  
Author(s):  
Shunsuke Nishimura ◽  
Masashi Amano ◽  
Chisato Izumi ◽  
Maiko Kuroda ◽  
Yusuke Yoshikawa ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Vincenzo Sucato ◽  
Girolamo Manno ◽  
Salvatore Evola ◽  
Giuseppe Coppola ◽  
Egle Corrado ◽  
...  

Author(s):  
Panupong Pota ◽  
Pannipa Suwannasom ◽  
Surin Woragidpoonpol ◽  
Tanop Srisuwan

Abstract Background IgG4-related disease (IgG4-RD) is a chronic fibroinflammatory condition with multiple-organ involvement. Rupture of coronary artery aneurysms (CAAs) in IgG4-RD is rare. Case summary A 65-year-old man with IgG4-RD has suffered from recurrent episodes of arterial aneurysms since 2003. He presented with chest pain and hypotension caused by localized cardiac tamponade at right ventricle free wall due to the rupture of coronary artery aneurysm(CAA) of left anterior descending artery (LAD). An urgent LAD aneurysm repaired with bovine pericardium and obliterated aneurysmal sac with cryo-acrylate glue was done together with coronary artery bypass grafting (CABG) using saphenous vein graft(SVG) to LAD and SVG to posterior descending artery. Three-month after surgery, the follow-up coronary computed tomography angiography (CCTA) revealed a growing in size of LAD and the second obtuse marginal(OM) branch aneurysm. Heart team discussion agreed to schedule the patient for double coil embolization to LAD and second OM aneurysm under intravascular ultrasound guidance. Both aneurysms were successfully obliterated with vascular coils. Two-week follow-up coronary angiogram showed complete occlusion of LAD aneurysm and near occlusion of the second OM branch aneurysm. Discussion CAA rupture is a life-threatening condition that required prompt detection and treatments. In IgG4-RD patients, acute cardiac tamponade suggesting the rupture of CAA. Coil embolization is an alternative treatment in patients who suffered from recurrent CAA after surgical repair. Serial CCTA is important for early detection of aneurysm in IgG4-RD patients who had vascular involvement.


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