Coronary Artery Diffuse Aneurysmal Dilation in an Acute Myocardial Infarction Patient

Coronary artery aneurysm (CAA) is a rare disease that is associated with dangerous dormant complications. It is associated with atherosclerotic heart disease in half of the cases during a coronary angiogram. Currently, there are no guidelines for the management of such cases. We present a case of ac...

Descripción completa

Detalles Bibliográficos
Autores principales: Elhosseiny, Sherif, Barsoum, Emad, Kandov, Ruben, Lafferty, James C, Zgheib, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6663276/
https://www.ncbi.nlm.nih.gov/pubmed/31363429
http://dx.doi.org/10.7759/cureus.4747
Descripción
Sumario:Coronary artery aneurysm (CAA) is a rare disease that is associated with dangerous dormant complications. It is associated with atherosclerotic heart disease in half of the cases during a coronary angiogram. Currently, there are no guidelines for the management of such cases. We present a case of acute ST-segment elevation myocardial infarction in a male patient who was found to have diffuse aneurysmal dilation of the coronary arteries along with 100% occlusion of the right coronary artery. The complexity of the lesions caused him not to be a candidate for either percutaneous or surgical intervention. This raises an important question regarding treatment options in such a rare case.

Ejemplares similares