scholarly journals “Mycotic” coronary artery aneurysm and purulent pericarditis: The riddle of the chicken and the egg

2021 ◽  
Author(s):  
Panteleimon Papakonstantinou ◽  
Pantelis Gounopoulos ◽  
Achilles Zacharoulis ◽  
Eleni Papagianni ◽  
Konstantinos Papakonstantinou ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Surgical Management ◽  
Male Patient ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Bypass Grafting ◽  
Purulent Pericarditis ◽  
Infected Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Aneurysm Resection

Infected coronary artery aneurysms present high mortality and surgical management is the treatment of choice in most cases. We present a case of a giant infected aneurysm of the mid right coronary artery complicated with purulent pericarditis in an 83-year-old male patient. It is unknown whether the aneurysm or purulent pericarditis preceded. The patient underwent urgent aneurysm resection and coronary artery distal bypass grafting. He died 24 hours after the operation. When purulent pericarditis and ICAA co-exist the riddle of the chicken and the egg becomes apparent.

scholarly journals Distal Left Main Coronary Artery Aneurysm Resection during 5-Vessel Coronary Artery Bypass Grafting

2018 ◽  
Vol 45 (2) ◽  
pp. 99-101 ◽  
Author(s):  
Nicholas P. Villano ◽  
Murray Kwon ◽  
Reza Ardehali
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Bypass Grafting ◽  
Left Main ◽  
Coronary Artery Aneurysms ◽  
Vessel Coronary Artery

Coronary artery aneurysms are abnormal dilations of arterial segments, in some cases associated with underlying atherosclerosis. Although affected patients can be asymptomatic, some are at risk of plaque rupture, dissection, and other complications. Investigations into the optimal management of these vascular malformations are ongoing, because no consensus exists regarding when and how best to intervene. We present the case of a 58-year-old man whose large left main coronary artery aneurysm we ligated and removed during 5-vessel coronary artery bypass grafting. This distal aneurysm was at the trifurcation level of the patient's left anterior descending and left circumflex coronary arteries. In addition, we discuss considerations about left main coronary artery aneurysms and their treatment.

Giant right coronary artery aneurysm

2020 ◽  
Vol 28 ◽  
pp. 1-3
Author(s):  
Alexandre Bonfim ◽  
Ronald Souza ◽  
Sérgio Beraldo ◽  
Frederico Nunes ◽  
Daniel Beraldo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Clinical Course ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Artery Aneurysms ◽  
History Of ◽  
Artery Disease ◽  
The Right

Right coronary artery aneurysms are rare and may result from severe coronary disease, with few cases described in the literature. Mortality is high, and therapy is still controversial. We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion. During the evaluation, a giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course.

scholarly journals Could the Novel Oral Anticoagulants Be Used for Coronary Artery Aneurysm?

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Quanxiang Yan ◽  
Libing Ning ◽  
Yu Jian ◽  
Wencong Yang ◽  
Qinghua Yuan ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Oral Anticoagulants ◽  
Artery Aneurysm ◽  
Antiplatelet Agents ◽  
Novel Oral Anticoagulants ◽  
The Novel ◽  
Coronary Artery Aneurysms

Coronary artery aneurysms (CAAs) are uncommon in coronary angiography, and left main coronary artery aneurysms are rare. There is no consensus for the treatment of CAAs. A young patient with left coronary artery aneurysm diagnosed by coronary angiography and with recurrent acute myocardial infarction was treated with rivaroxaban and aspirin. The patient had no angina for 6 months. Novel oral anticoagulants combined with antiplatelet agents may be appropriate for the treatment of CAAs.

scholarly journals Successful Surgical Treatment of Giant Coronary Artery Aneurysm and Concomitant Coronary Artery Fistula to the Pulmonary Artery

2018 ◽  
Vol 21 (4) ◽  
pp. E247-E249
Author(s):  
Keito Suzuki ◽  
Naoyuki Kimura ◽  
Akira Sezai ◽  
Satoshi Unosawa ◽  
Makoto Taoka ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula ◽  
Fistula Formation ◽  
Bypass Grafting ◽  
Postoperative Course ◽  
Giant Coronary Artery Aneurysm

Giant coronary artery aneurysm (GCAA) combined with coronary artery fistula to the pulmonary artery (PA) is rare. A 79-year-old man was accidentally discovered with GCAA. He was operated on by use of aneurysmorrhaphy, and closure of the fistulae was performed. Because ischemic changes appeared, coronary artery bypass grafting was done. The postoperative course was uneventful, and the patient was discharged on postoperative day 14. We report here a case of GCAA with a size of 66 × 52 mm in diameter associated with a fistula formation into the PA. It is one of the largest sizes of GCAA that has occurred after fistula formation.

scholarly journals Giant Coronary Artery Aneurysms Involving More Than One Coronary Artery

2021 ◽  
Author(s):  
Matthew S Khouzam ◽  
Nayer Khouzam
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Aortic Aneurysm ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
St Segment ◽  
History Of ◽  
The Right

Abstract Background: Coronary artery aneurysms are rare findings in patients undergoing coronary angiography. The presence of multiple coronary artery aneurysms located in more than one coronary artery is even more uncommon. The pathophysiology of such aneurysms is unknown, but the majority are often due to atherosclerosis, congenital heart disease, or vasculitis. Case Presentation: We present a rare case of a 78-year-old female patient who presented with unstable angina and non-ST segment elevation myocardial infarction. On coronary angiography she was found to have three separate 1 cm saccular aneurysms involving the proximal left anterior descending coronary artery. The right coronary artery could not be visualized. Computed chest tomography revealed a 6.6 x 6.3 cm saccular aneurysm of the right coronary artery, and a 4.4 cm fusiform aneurysm of the ascending aorta. The patient gave no history of percutaneous coronary intervention or cardiac surgical procedures. She had a previous history of endovascular stenting of an abdominal aortic aneurysm. The sizable right coronary artery aneurysm showed extrinsic compression of both the right atrium and ventricle with right ventricular hypokinesis. Serological studies for vasculitis were all negative. Pathology of the aneurysm wall revealed calcific atherosclerosis without evidence of vasculitis. The patient underwent subtotal resection of the right coronary aneurysm with ligation of the proximal and distal ends of the right coronary artery and double bypass surgery to the left anterior descending and right posterior descending coronary arteries. Conclusion: The presence of multiple, large coronary artery aneurysms is very rare. Treatment can be challenging and should be individualized. Surgical treatment is recommended for giant coronary artery aneurysms to prevent potential complications. Keywords: coronary artery aneurysm, aortic aneurysm, atherosclerosis, non-ST segment 32 elevation myocardial infarction, case report

Sign in / Sign up

Export Citation Format

Share Document