Giant Distal Left Main Coronary Artery Aneurysm

Abstract

Coronary artery aneurysms are rare entities most commonly detected during coronary angiography incidentally. The incidence has increased during the recent years due to widespread use of drug eluting stents. Stasis with the aneurysm may lead to thrombosis and occurrence of myocardial ischemic symptoms. Percutaneous intervention strategies and surgical options are available. Here, we report a case with distal left main coronary artery aneurysm presented with acute coronary syndrome and treated successfully with surgery.

Keywords

• Coronary aneurysm, acute coronary syndrome; myocardial infarction; coronary artery bypass

Dev Distal Sol Ana Koroner Arter Anevrizması

Abstract

Koroner arter anevrizmaları, sıklıkla koroner anjiyografi sırasında insidental olarak saptanan nadir olgulardır. Son yıllarda ilaç salınımlı stentlerin sık kullanımına bağlı olarak insidans artmıştır. Anevrizma içerisindeki staz, tromboz oluşumuna ve miyokardiyal iskemik semptomların gelişmesine neden olur. Perkütan girişim stratejileri ve cerrahi seçenekler tedavide mevcuttur. Bu çalışmada, akut koroner sendrom ile başvuran ve cerrahi ile başarılı biçimde tedavi edilen bir distal sol ana koroner arter anevrizması sunulmuştur.

Keywords

• Koroner anevrizma, akut koroner sendrom; miyokard infarktüsü; koroner arter bypas

References

1. Syed M, Lesch M. Coronary artery aneurysm: A review. Prog Cardiovasc Dis 1997;40:77-84.
2. Nichols L, Lagana S, Parwani A. Coronary Artery Aneurysm A Review and Hypothesis Regarding Etiology. Arch Pathol Lab Med 2008;132:823-8.
3. Acar G, Dede Ö, Türker Y, Akçay S, Altınbaş A. Koroner arter anevrizmalı hastaların anjiyografik ve klinik özellikleri: 52 hastanın retrospektif incelenmesi ve literatürün gözden geçirilmesi. SDÜ Tıp Fak Derg 2008;15:1- 5.
4. Gülcü E, Sağlam E, Gülcü E, Emiroğlu MY. Romatoit artritli bir hastada dev koroner arter anevrizması. Türk Kardiyol Dern Arş 2011;39:701-3.
5. Keyser A, Hilker MK, Husser O, Diez C, Schmid C. Giant coronary aneurysms exceeding 5 cm in size. Interact Cardiovasc Thorac Surg 2012;15:33-6.
6. Wu BM, Nakamura M, Rezaee M. Stent implantation for coronary aneurysm with edge stenosis: angiographic and intravascular analysis. J Invasive Cardiol 2004;16:149-51.
7. Murthy PA, Mohammed L, Read K, Gilkeson RC, White CS. MDCT of coronary artery aneurysms. AJR Am J Roentgenol 2005;184(3 Suppl):S19-20.
8. Cacucci M, Catanoso A, Valentini P, Rizzini AL, Agricola P, Pedrinazzi C, et al. Right coronary artery aneurysm: Percutaneous treatment with graft- coated stent during the acute phase of myocardial infarction. Int J Cardiol 2009;131:e56-58.

9. Everett JE, Burkhart HM. Coronary artery aneurysm: case report. J Cardiothorac Surg 2008;3:1.
10. Tiryakioğlu O, Başel MC, Tiryakioğlu SK, Türk T, Yavuz Ş. An emergency surgical repair for ruptured giant right coronary artery aneurysm. Turk Gogus Kalp Dama 2008;16:120-1.