scholarly journals Giant Thrombosis at Left Anterior Descending Artery Aneurysm in a 10-Year Old Boy with Granulomatosis with Polyangiitis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ehsan Aghaei Moghadam ◽  
Nahid Aslani ◽  
Helia Mojtabavi ◽  
Farnoosh Larti ◽  
Azin Ghamari ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Coronary Artery ◽  
Rare Case ◽  
Granulomatosis With Polyangiitis ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Necrotizing Vasculitis ◽  
Annual Incidence Rate ◽  
Case Presentation ◽  
Coronary Aneurysms

Granulomatosis with polyangiitis (GPA), necrotizing vasculitis of small and medium-sized vessels, is traditionally believed to mainly affect respiratory tract with additional focal kidney involvements as its primary manifestations with a relatively rare annual incidence rate of 20-50 cases per million. Six percent of the affected cases have cardiac involvements; among which, aneurysms comprise the lowest penetrance. By this paper, we aim to cast light on clinical diagnostic and treatment methods of a rare case presentation, a 10-year-old male GPA patient, diagnosed with massive thrombosis at his coronary artery aneurysm. GPA should be considered as differential diagnosis of prolong fever and coronary aneurysms in adolescents.

scholarly journals A RARE CASE OF GIANT CORONARY ARTERY ANEURYSM WITH ACROMEGALY

2021 ◽  
Vol 77 (18) ◽  
pp. 3017
Author(s):  
Anurag Gaddam ◽  
Louis Ghawji ◽  
Brian Swirsky ◽  
Eder Cativo Calderon
Keyword(s):  
Coronary Artery ◽  
Rare Case ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Giant Coronary Artery Aneurysm

scholarly journals A Rare Case of a Giant Right Coronary Artery Aneurysm

2015 ◽  
Vol 11 (2) ◽  
pp. 135-136 ◽  
Author(s):  
Walid K Abu Saleh ◽  
Odeaa Aljabbari ◽  
Michael J Reardon
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Rare Case ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm

Usefulness and safety of anakinra in refractory Kawasaki disease complicated by coronary artery aneurysm

2018 ◽  
Vol 28 (5) ◽  
pp. 739-742 ◽  
Author(s):  
Marie-Paule Guillaume ◽  
Héloïse Reumaux ◽  
François Dubos
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Coronary Arteries ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Intravenous Immunoglobulins ◽  
Unknown Aetiology ◽  
Partial Regression ◽  
Coronary Aneurysms

AbstractKawasaki disease is an acute self-limited vasculitis of unknown aetiology. The prognosis depends mainly on coronary damage. There is no consensus regarding optimal adjunctive therapeutics for refractory forms to treatment by intravenous immunoglobulins and corticosteroids. We report the case of an 18-month-old infant with refractory Kawasaki disease complicated by diffuse aneurysms of coronary arteries and successfully treated by anakinra with partial regression of coronary aneurysms

scholarly journals Coronary artery aneurysm. Literature review and cases report in Venezuela

2021 ◽  
Vol 129 (2) ◽  
pp. 368-375
Author(s):  
Gastón Silva C ◽  
Chadi Nasser ◽  
Isaubett Yajure M
Keyword(s):  
Coronary Artery ◽  
Literature Review ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Vessel Diameter ◽  
Coronary Aneurysms ◽  
Uncommon Condition ◽  
Adjacent Segments

Coronary artery aneurysm (CAA) is an uncommon condition and is defined as dilatation of the coronary artery exceeding 50 % of the reference vessel diameter or more than 1.5 times the diameter of normal adjacent segments or the diameter of the patient’s largest coronary artery. The reported incidence of coronary aneurysms ranges from 0.3 % to 5 %, with a predilection to men more than to women, and proximal than to distal segments of the coronary bed.

scholarly journals Coronary Artery Aneurysm - Two Case Reports

2016 ◽  
Vol 17 (2) ◽  
pp. 111-114 ◽  
Author(s):  
Mandal Saroj ◽  
Manjunath ◽  
Das Shymalendu ◽  
Mandal Debasrita ◽  
Kanjilal Souvik ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Case Reports ◽  
Artery Aneurysm ◽  
Longitudinal Axis ◽  
Adjacent Segment ◽  
Coronary Artery Ectasia ◽  
Transverse Axis ◽  
Coronary Aneurysms

Coronary aneurysms are defined as a localized dilatation that exceeds 1.5 times the diameter of the adjacent segment of artery. Aneurysms can be saccular (transverse larger than the longitudinal axis) or fusiform (longitudinal at least twice the transverse axis). These should be distinguished from coronary artery ectasia in which there is diffuse dilatation involving greater than 50% of the coronary arteryJ MEDICINE July 2016; 17 (2) : 111-114

scholarly journals Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
James Barr ◽  
Metesh Nalin Acharya ◽  
Antonios Kourliouros ◽  
Shahzad Gull Raja
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Saphenous Vein Graft ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Coronary Aneurysms ◽  
Right Ventricular Strain ◽  
The Right

Giant coronary artery aneurysms are rare clinical entities. We report the case of a 49-year-old man who presented with dyspnoea and exertional chest pain. Investigations confirmed an aneurysmal right coronary artery measuring 4 cm with a fistulous communication to the right atrium. Following right atriotomy, the fistula was oversewn and the aneurysmal right coronary artery ligated at its origin and at several points along its course. A saphenous vein graft was anastomosed to the posterior descending artery. Persistent ventricular fibrillation occurred upon chest closure, attributed to ischaemia following ligation of the aneurysmal coronary artery. Emergent resternotomy and internal defibrillation were successfully performed. The sternum was stented open to reduce right ventricular strain and closed the following day. The patient made an unremarkable recovery. We here address the technical challenges associated with surgical repair of right coronary aneurysms and the physiology and management of potential complications.

scholarly journals Giant coronary fistula aneurysm presenting as a progressing left-sided asymptomatic mediastinal mass with systolic dominant Doppler flow: a case report

2022 ◽  
Author(s):  
Hidekazu Maruyama ◽  
Kumiko Habe ◽  
Jo Kato ◽  
Makiko Nishikii
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Mediastinal Mass ◽  
Coronary Artery Aneurysm ◽  
Main Pulmonary Artery ◽  
Artery Aneurysm ◽  
Coronary Fistula ◽  
Transthoracic Doppler Echocardiography ◽  
Coronary Aneurysms ◽  
Giant Coronary Artery Aneurysm

Abstract Background Cases of giant coronary artery aneurysms associated with coronary fistula are rarely reported, and they present with various symptoms, including coronary steal syndrome. We report an uncommon case of an asymptomatic giant coronary fistula aneurysm presenting as a progressing left-sided mediastinal mass that has been tracked for years. Case summary A 67-year-old healthy asymptomatic woman was referred to our hospital because of an abnormal shadow on her chest radiography revealing a left-sided mediastinal mass that had progressed in size over the past 4 years. Computed tomography revealed mass progression from 4 cm to 5 cm in diameter within 2 years. Coronary computed tomography and coronary angiography identified a giant coronary artery aneurysm in a coronary fistula originating in the left anterior descending artery and draining into the main pulmonary artery. Transthoracic Doppler echocardiography revealed a unique systolic-dominant flow. She underwent coronary artery aneurysmectomy and fistula ligation. The patient has been in good health without any events for 10 months since her discharge. Discussion A giant coronary artery aneurysm in a coronary fistula can present as an asymptomatic left-sided mediastinal mass that has progressed in size for years in older adults. Echocardiography can provide clues of the steal phenomenon in coronary artery fistula. A close investigation of mediastinal abnormalities can facilitate the detection of coronary aneurysms.

scholarly journals Left circumflex coronary artery aneurysm combined with fistula to the left ventricle

2020 ◽  
Author(s):  
Zhang Yue ◽  
Manwei Liu ◽  
Kailun Zhang ◽  
Yali Yang ◽  
Fei Li
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Rare Case ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Right Heart ◽  
Left Circumflex Coronary Artery ◽  
The Right

Coronary artery fistula (CAF) are abnormal connections between a coronary artery and cardiac chambers or with other vessels. CAF occurs in about 0.1% of adult patients and most commonly affects the right heart. We present a rare case of left circumflex coronary artery aneurysm with fistula to the left ventricle.

Sign in / Sign up

Export Citation Format

Share Document