scholarly journals Giant right coronary artery aneurysm presenting with non-ST elevation myocardial infarction and severe mitral regurgitation: a case report

2011 ◽  
Vol 5 (1) ◽  
Author(s):  
Justin Nazareth ◽  
Laurence Weinberg ◽  
Jon Fernandes ◽  
Phil Peyton ◽  
Sivan Seevanayagam
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Coronary Artery ◽  
Mitral Regurgitation ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
St Elevation Myocardial Infarction ◽  
Severe Mitral Regurgitation ◽  
St Elevation

scholarly journals Proximal Left Main Coronary Artery Aneurysm Presenting as ST-Elevation Myocardial Infarction Treated by Stenting

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Vijay Chander Vinod ◽  
Zuhair Eltayeb Yousif ◽  
Najat Omer Salim ◽  
Talib Majwal
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Artery Aneurysm ◽  
St Elevation Myocardial Infarction ◽  
Maximum Diameter ◽  
Left Main ◽  
St Elevation

Coronary artery aneurysm (CAA) is a rare cardiac anomaly with a reported incidence of 0.3-4.9% of patients who undergo coronary angiography. The term is used when the coronary artery diameter exceeds more than 50% or 1.5 times the reference diameter. It can be congenital or acquired. The commonest acquired cause in an adult is atherosclerosis and in a child is Kawasaki’s disease. The commonest culprit vessel is the Right Coronary Artery (RCA), followed by Left Circumflex (LCx) and Left Anterior Descending (LAD). Left main coronary aneurysms are extremely rare in clinical practice. Coronary angiography is the gold standard procedure, both for diagnosis and treatment. We report a 49-year-old male who presented with anterior wall ST-Elevation Myocardial Infarction (STEMI). The initial angiography showed LAD stent thrombosis, but when the second angiography was done, there was spontaneous recanalization of the LAD. Coronary angiography was performed at our hospital, which revealed a long left main coronary artery aneurysm measuring 9.8 mm—maximum diameter. This was treated with a size 5 × 24   mm Begraft coronary stent.

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