Aterosklerozun Eşlik Ettiği Dev Sol Ön İnen Arter Anevrizması

Yıl 2016, Cilt: 19 Sayı: 1, 50 - 52, 04.04.2016

Mahmut Özdemir Yemlihan Ceylan Nesim Aladağ Tayyar Akbulut Faysal Şaylık Mustafa Etli

Öz

55 yaşında erkek hasta kliniğimize
tipik iskemik göğüs ağrısı ile başvurdu. Koroner anjiyografide sol ön inen
arter (LAD) proksimal segmentinde fusiform tipte dev anevrizma, birinci diyagonal
dalı hizasında önemli darlık, sirkumfleks arterinde önemli darlık ve sağ
koroner arter total oklüde saptandı. Hastaya koroner arter baypas greft (CABG)
operasyonu yapıldı. Bu olgumuzda aterosklerozun eşlik ettiği dev LAD
anevrizmasını sunmayı amaçladık. Bu olgumuz literatürde görülen dev LAD
anevrizmalarıdan biridir.

Anahtar Kelimeler

Ateroskleroz, anevrizma, koroner arterler

Giant Left Anterior Descending Artery Aneurysm Accompanied by Atherosclerosis

Öz

Having typical
ischemic chest pain, 55-year-old male patient applied to our clinic. It was
determined that in coronary angiography; giant aneurysm in the shape of
fusiform in the proximal segment of left anterior descending (LAD) artery,
significant stenosis in the first diagonal branch line; significant stenosis in
circumflex artery and the total occlude in the right coronary artery. The
patient was operated through coronary artery bypass greft (CABG). In this our
case, we aimed to present the giant LAD aneurysm accompanied by atherosclerosis.
This our case is one of the giant LAD aneurysms see in literature.

Anahtar Kelimeler

Atherosclerosis, aneurysm, coronary arteries

Kaynakça

• 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997;40:77-84.
• 2. Hoşcan Y, Doğan A, Altinbaş A. A case of left main coronary artery aneurysm associated with severe stenosis of left anterior descending artery. [Article in Turkish] Anadolu Kardiyol Derg 2004;4:274.
• 3. Krüger D, Stierle U, Herrmann G, Simon R, Sheikhzadeh A. Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (dilated coronopathy). J Am Coll Cardiol 1999;34:1461-70.
• 4. Nichols L, Lagana S, Parwani A. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 2008;132:823-8.
• 5. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients. Br Heart J 1985;54:392-5.
• 6. Berkoff HA, Rowe GG. Atherosclerotic ulcerative disease and associated aneurysms of the coronary arteries. Am Heart J 1975;90:153-8.
• 7. Alford WC Jr, Stoney WS, Burrus GR, Frist RA, Thomas CS Jr. Recognition and operative management of patients with arteriosclerotic coronary artery aneurysms. Ann Thorac Surg 1976;22:317-21.
• 8. Satran A, Bart BA, Henry CR, Murad MB, Talukdar S, Satran D, et al. Increased prevalence of coronary artery aneurysms among cocaine users. Circulation 2005;111:2424-9.
• 9. Sarıoğlu A, Saltık L, Arısoy N, Ali Ertugrul A. Kawasaki sendromuna bağlı koroner arter anevrizmaları. Göğüs Kalp Damar Cerrahisi Dergisi 1991;1:49-52.
• 10. Murthy PA, Mohammed TL, Read K, Gilkeson RC, White CS. MDCT of coronary artery aneurysms. AJR Am J Roentgenol 2005;184:19-20.
• 11. Chia HMY, Tan KH, Jackson G. Non-atherosclerotic coronary artery aneurysms: two case reports. Heart 1997;78:613-16.
• 12. Otsuka M, Minami S, Hato K, Suto Y, Kajiwara K, Yamagishi H, et al. Acute myocardial infarction caused by thrombotic occlusion of a coronary arteryaneurysm. Cathet Cardiovasc Diagn 1997;41:423-5.
• 13. Altinbaş A, Acar G, Aslan SM. Giant left main coronary aneurysm with coronary artery ectasia. [Article in Turkish] Anadolu Kardiyol Derg 2005;5:79-80.
• 14. Aintablian A, Hamby RI, Hoffman I, Kramer RJ. Coronary ectasia: incidence and results of coronary bypass surgery. Am Heart J 1978;96:309-15.
• 15. Gündüz H, Akdemir R, Binak E, Tamer A, Uyan C. Spontaneous rupture of a coronary artery aneurysm. Jpn Heart J 2004;45:331-6.
• 16. Coronary artery aneurysm rupture mimicking dissection of the thoracic aorta. Int J Cardiol 1998;65:115-7.
• 17. Hirsch GM, Casey PJ, Raza-Ahmad A, Miller RM, Hirsch KJ. Thrombosed giant coronary artery aneurysm presenting as an intracardiac mass. Ann Thorac Surg 2000;69:611-3.