Koroner arterlerde çoklu dev anevrizma olgusu

Yıl 2026, Cilt: 7 Sayı: 1, 49 - 52, 06.01.2026

Şenay Bengin Ertem , Mustafa Reşorlu , Saner Esmer

Öz

Koroner arter anevrizmaları koroner arterlerin anormal genişlemesidir. Etiyolojisi hala tam olarak anla-şılamamıştır. Genellikle asemptomatiktir ve tesadüfen teşhis edilir. Semptomatik hastalarda aritmiler, kararsız angina, miyokard enfarktüsü veya ani kardiyak ölüm görülebilir. Tanıda invaziv ve noninvaziv vasküler görüntüleme teknikleri kullanılır. İnvaziv bir görüntüleme yöntemi olan konvansiyonel koro-ner anjiyografi altın standart olarak kabul edilir. Koroner bilgisayarlı tomografi anjiyografi, anevrizma boyutunun ve yerinin doğru bir şekilde değerlendirilmesini sağlayan noninvaziv bir yöntemdir. Tedavi seçenekleri arasında cerrahi yaklaşım, perkütan koroner girişim ve tıbbi tedavi yer alır. Ancak sınırlı literatür bilgisi nedeniyle, klinisyenlerin koroner arter anevrizması olan hastalara nasıl yaklaşmaları gerektiği hala belirsizdir.Bu yazıda, iki koroner arterde tespit edilen çoklu dev koroner arter anevrizma olgusunu, koroner bilgisayarlı tomografi anjiyografi bulgularıyla birlikte sunmayı amaçladık.

Anahtar Kelimeler

Koroner anevrizması , Koroner anjiyografi , Tomografi

Etik Beyan

Makalede etik kurallara uygun davranılmıştır. Consent was obtained from the patient.

Destekleyen Kurum

Yok

Multiple giant aneurysm in coronary arteries

Öz

Coronary artery aneurysms are abnormal dilatation of the coronary arteries. The etiology is still not fully understood. They are usually asymptomatic and diagnosed incidentally. Arrhythmias, unstable angina, myocardial infarction or sudden cardiac death may occur in symptomatic patients. Invasive and noninvasive vascular imaging techniques are used in diagnosis. Conventional coronary angiography, an invasive imaging method, is considered as the gold standard. Coronary computed tomography angiography is a noninvasive method that enables accurate assessment of aneurysm size and location. Treatment options include surgical approach, percutaneous coronary intervention and medical treatment. However, due to limited literature information, it is still unclear for clinicians how to approach patients with coronary artery aneurysm. In this article, we aimed to present a case of multiple giant coronary artery aneurysms detected in two coronary arteries, together with Coronary computed tomography angiography findings.

Anahtar Kelimeler

Coronary aneurysms , Coronary angiography , Tomography

Etik Beyan

The article was conducted in accordance with ethical rules. Consent was obtained from the patient.

Destekleyen Kurum

No funding was used in the study.

Kaynakça

• 1. Swaye PS, Fisher LD, Litwin P, et al. Aneurys-mal coronary artery disease. Circulation. 1983;67(1):134e138. https://doi.org/10.1161/01.cir.67.1.134
• 2. Nú~nez-Gil IJ, Nombela-Franco L, Bagur R, et al. Rationale and design of a multicenter, international and collaborative Coronary Artery Aneurysm Registry (CAAR). Clin Cardiol. 2017;40(8):580e585. https://doi.org/10.1002/clc.22705.
• 3. Kawsara A, Núnez Gil IJ, Alqahtani F, et al. Management of coronary artery aneurysms. JACC Cardi-ovasc Interv. 2018;11(13):1211e1223. https://doi.org/10.1016/j.jcin.2018.02.041
• 4. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association. Circulation. 2017;135(17): 927e999. https://doi.org/10.1161/cir.0000000000000484
• 5. Demopoulos VP, Olympios CD, Fakiolas CN, et al. The natural history of aneurysmal coronary artery disease. Heart. 1997;78:136–141. https://doi.org/10.1136/hrt.78.2.136
• 6. Pham V, Hemptinne Q, Grinda JM, et al. Giant coronary aneurysms, from diagnosis to treatment: A literature review. Arch Cardiovasc Dis. 2019;113:59–69. https://doi.org/10.1016/j.acvd.2019.10.008
• 7. Kawasara E, Nunez Gill IJ, Alqahtani F, et al. Management of coronary artery aneurysms. JACC Cardi-ovasc Interv. 2018;11(13):1211–1223. https://doi.org/10.1016/j.jcin.2018.02.041
• 8. Astarcıoğlu MA, Şen T, Urfalı FE, Demir M. Giant coronary arterysm with a thrombus. Anatol J Car-diol.2023;27(5):15–16. https://doi.org/10.14744/AnatolJCardiol.2023.3186
• 9. Zhu X, Zhou Q, Tong S, Zhou Y. Challenges and strategies in management of coronary artery aneurysms. Hellenic J Cardiol. 2021;62:112–120. https://doi.org/10.1016/j.hjc.2020.09.004
• 10. Wozniac P, Iwanczyk S, Blaszyk M, et al. Coro-nary artery aneurysm or ectasia as a form of coronary artery remodeling: etiology, pathogenesis, diagnostics, complications, and treatment. Biomedici-nes.2024;12:1984. https://doi.org/10.3390/biomedicines12091984
• 11. Lamotte LC, Mathur VS. Atherosclerotic coro-nary artery aneurysms: Eight-year angiographic follow-up. Tex Heart Inst J. 2000;27:72–73.
• 12. Maehara A, Mintz GS, Ahmet JM, et al. An int-ravascular ultrasound classification of angiographic coronary artery aneurysms. Am J Cardiol. 2001;88(4):365–370. https://doi.org/10.1016/s0002-9149(01)01680-0
• 13. Murthy PA, Mohammed TL, Read K, et al. MDCT of coronary artery aneurysms. AJR Am J Roentge-nol.2005;184(3):19–20. https://doi.org/10.2214/ajr.184.3_supplement.01840s19
• 14. Johnson PT, Fishman EK. CT angiography of coronary artery aneurysms: detection, definition, causes, and treatment. Am J Roentgenol. 2010;195:928–934. https://doi.org/10.2214/ajr.09.3517
• 15. Abou Sherif S, Ozden Tok O, Taşköylü O, Gok-tekin O. Kilic ID. Coronary artery aneurysms: a review of the epidemiology, pathophysiology, diagnosis, and tre-atment. Front Cardiovasc Med. 2017;4:24. https://doi.org/10.3389/fcvm.2017.00024
• 16. Boaert J, Kuzo R, Dymarkowski S, et al. Coro-nary artery imaging with real-time navigator three-dimensional turbofield-echo MR coronary angiography: initial experience. Radiology. 2003;226:707–716. https://doi.org/10.1148/radiol.2263011750
• 17. Befeler B, Aranda MJ, Embi A, et al. Coronary artery aneurysms: study of etiology, clinical course and effect on left ventricular function and prognosis. Am J Med. 1977;62(4):597–605. https://doi.org/10.1016/0002-9343(77)90423-5
• 18. Nú~nez-Gil IJ, Cerrato E, Bollati M, et al. Coro-nary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR). Int JCar-diol.2020;299(18):49e55. https://doi.org/10.1016/j.ijcard.2019.05.067