Giant coronary aneurysm in a patient with familial aortic aneurysm/dissection: Medial degeneration extending to coronary artery

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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Giant Coronary Aneurysm Causing Ostial Occlusion of Coronary Artery by Mass Effect: A Case Report

Cureus ◽

10.7759/cureus.16280 ◽

2021 ◽

Author(s):

Vanlalmalsawmdawngliana Fanai ◽

Amit Malviya ◽

Animesh Mishra ◽

Donboklang Lynser ◽

Tony Ete

Keyword(s):

Case Report ◽

Coronary Artery ◽

Mass Effect ◽

Coronary Aneurysm ◽

Giant Coronary Aneurysm

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Giant Coronary Aneurysm Presenting as Acute Ventricular Septal Rupture

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230000800222 ◽

2000 ◽

Vol 8 (2) ◽

pp. 175-177

Author(s):

Madhava Janardhan Naik ◽

Chong Hee Lim ◽

Zee Pin Ding ◽

Yeow Leng Chua

Keyword(s):

Septic Shock ◽

Coronary Artery ◽

Ventricular Septal Defect ◽

Right Coronary Artery ◽

Septal Defect ◽

Coronary Aneurysm ◽

Ventricular Septal Rupture ◽

Giant Coronary Aneurysm ◽

The Right

Giant coronary aneurysm presented initially as acute ventricular septal rupture in a 65-year-old man. At surgery, aneurysms measuring more than 10 cm each were found in the right coronary and left anterior descending arteries. The right coronary artery was bypassed and the aneurysm was plicated. A 2-cm ventricular septal defect was patched. Postoperatively, the patient's condition deteriorated and he succumbed to septic shock.

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A giant coronary aneurysm formed after coronary artery bypass grafting

BMJ Case Reports ◽

10.1136/bcr-2015-209308 ◽

2015 ◽

Vol 2015 (jan29 1) ◽

pp. bcr2015209308-bcr2015209308

Author(s):

Y. Ikegami ◽

K. Kita ◽

T. Uchimuro ◽

M. Osako

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Coronary Aneurysm ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Giant Coronary Aneurysm

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Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Journal of International Medical Research ◽

10.1177/0300060521999525 ◽

2021 ◽

Vol 49 (3) ◽

pp. 030006052199952

Author(s):

Xiaoyan Jiang ◽

Jiamin Li ◽

Xuehua Zhang ◽

Han Chen

Keyword(s):

Acute Coronary Syndrome ◽

Chest Pain ◽

Coronary Artery ◽

Mitral Valve ◽

Young Woman ◽

Mitral Valve Prolapse ◽

Artery Aneurysm ◽

Coronary Aneurysm ◽

Coronary Syndrome ◽

Giant Coronary Aneurysm

Acute coronary syndrome in the young population is infrequently seen and has a different etiology from that in the elderly population. Giant coronary artery aneurysms are rare and usually asymptomatic, but they can cause acute clinical symptoms such as chest pain or chest tightness. We herein describe a young woman with a history of mitral valve prolapse who developed sudden-onset chest pain. She had mild elevations of her creatine kinase and cardiac troponin levels; however, no ST segment alteration was found on an electrocardiogram, and no abnormal regional wall movement was noted on echocardiography. Cardiac magnetic resonance imaging with late gadolinium enhancement revealed a “mass” at the right coronary artery and linear subendocardial enhancement at the posterior wall. Coronary angiography later confirmed a giant coronary aneurysm with a substantial thrombus. The combined presence of the coronary artery aneurysm and mitral valve prolapse in this patient was likely a sequela of Kawasaki disease.

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