GIANT CORONARY ANEURYSM PRESENTING AS ACUTE CORONARY SYNDROME

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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Giant coronary aneurysm culprit of an acute coronary syndrome

Revista Portuguesa de Cardiologia ◽

10.1016/j.repc.2016.11.017 ◽

2018 ◽

Vol 37 (2) ◽

pp. 203.e1-203.e5 ◽

Cited By ~ 2

Author(s):

Iván J. Núñez-Gil ◽

Pedro Marcos Alberca ◽

Nieves Gonzalo ◽

Luis Nombela-Franco ◽

Pablo Salinas ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Coronary Aneurysm ◽

Coronary Syndrome ◽

Giant Coronary Aneurysm

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Polycystic Kidney Disease with Coronary Aneurysm and Acute Coronary Syndrome

Internal Medicine ◽

10.2169/internalmedicine.48.2570 ◽

2009 ◽

Vol 48 (22) ◽

pp. 1989-1991 ◽

Cited By ~ 2

Author(s):

Zekeriya Kucukdurmaz ◽

Hakan Buyukhatipoglu ◽

Yusuf Sezen ◽

Zekeriya Kaya

Keyword(s):

Acute Coronary Syndrome ◽

Kidney Disease ◽

Polycystic Kidney Disease ◽

Coronary Aneurysm ◽

Polycystic Kidney ◽

Coronary Syndrome

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SACCULAR CORONARY ANEURYSM PRESENTING AS ACUTE CORONARY SYNDROME WITH ATRIAL FLUTTER AND COMPLETE HEART BLOCK

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)33003-7 ◽

2019 ◽

Vol 73 (9) ◽

pp. 2397

Author(s):

Jorge Andre Rodriguez-Lozano ◽

Syed Gilani ◽

Luba Frank ◽

Joseph Hornak ◽

Lin Gao ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Atrial Flutter ◽

Heart Block ◽

Complete Heart Block ◽

Coronary Aneurysm ◽

Coronary Syndrome

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Irreversible coronary aneurysm presenting as acute coronary syndrome in a child with hypereosinophilic syndrome: a case report

Cardiology in the Young ◽

10.1017/s1047951120004862 ◽

2021 ◽

pp. 1-3

Author(s):

Tahmineh Tahouri ◽

Mohammad Mahdavi ◽

Kiara Rezaei-Kalantari ◽

Hossein Shahzadi

Keyword(s):

Heart Failure ◽

Acute Coronary Syndrome ◽

Hypereosinophilic Syndrome ◽

Restrictive Cardiomyopathy ◽

Coronary Aneurysm ◽

Coronary Syndrome ◽

Coronary Artery Involvement ◽

Coronary Ectasia ◽

Cardiac Manifestations ◽

Include Heart Failure

Abstract Hypereosinophilic syndrome is defined as persistent eosinophilia in the blood for more than 6 months, without any identifiable cause and with end-organ involvement evidence. Cardiac manifestations of HES include heart failure due to restrictive cardiomyopathy, arrhythmia, intraventricular thrombosis, and coronary artery involvement occurs frequently. In rare instances, coronary ectasia, aneurysms, or dissection can occur and cause morbidity and mortality in these patients. A coronary aneurysm occurs rarely in adult patients with HES but to our knowledge, this is the first report of this association in a 14-year-old boy who was presented to us as coronary aneurysm due to hypereosinophilic syndrome.

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