A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Solodkyy, Andriy; Shalhoub, Joseph; Chetty, Govind; Briffa, Norman

doi:10.1016/j.ijscr.2012.03.023

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…It is important to screen other vasculature of the body as patients with coronary aneurysms can have associated varicose veins, varicocele, or aortic aneurysm. 10 , 11 Regardless of the aetiology or association of CAAs, there is no agreement for the management. The treatment options include medical therapy with anticoagulation, percutaneous intervention with covered stents, and surgical correction.…”

Section: Discussionmentioning

confidence: 99%

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Shah

Alqahtani

Alshahrani

et al. 2022

European Heart Journal - Case Reports

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Background The term “Giant” coronary aneurysm is usually defined as any coronary aneurysm more than 8 mm in maximum diameter. The familial form of retinal arterial macroaneurysms (FRAM) is a rare autosomal recessive disease that is described by arterial aneurysm formation in the retina. Here, we report an association of coronary artery aneurysms with FRAM in a young male who presented with the acute coronary syndrome. Case summary 31 years old male, smoker presented to the emergency department with atypical chest pain for five days. Blood investigations showed raised troponin enzymes. Review of his past medical history revealed decreased vision in the left eye, starting at the age of 10 years which progressed to blindness. He was diagnosed to have IGFBP7 mutation which causes eye manifestations in the form of familial retinal arterial macroaneurysms (FRAP). Fundoscopy showed bleeding retinal artery macroaneurysms in the right retina and sub-retinal gliosis suggesting laser treatment for the prior retinal arterial aneurysm. Coronary angiogram revealed a large aneurysm in the proximal segment of the left anterior descending artery. Cardiac CT scan with contrast was done which showed a 2.28 x 1.64 cm coronary aneurysm at the proximal segment of the left anterior descending (LAD) artery with peripheral calcification with a narrow neck of about 0.6 cm. After the heart team discussion, he underwent surgical ligation of the LAD and coronary aneurysm with implantation of the saphenous venous graft (SVG) to distal LAD. Discussion Coronary artery aneurysms can be a part of multisystem diseases like familial retinal macroaneurysm (FRAM). The management should be individualized based on symptoms at presentation, size of coronary aneurysms, and local expertise.

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Section: Discussionmentioning

confidence: 99%

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Shah

Alqahtani

Alshahrani

et al. 2022

European Heart Journal - Case Reports

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“…Li et al normally used cardiopulmonary bypass with moderate hypothermia for aneurysm resection [ 2 ] to avoid cardiac ischemic events. Otherwise, there are some reports in which the aneurysms were treated by off-pump CABG [ 12 ]. The advantage of this method is its minimal invasiveness.…”

Section: Case Presentationmentioning

confidence: 99%

A case of ruptured infective coronary artery aneurysm

et al. 2017

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The Management of Concomitant Renal Oncocytoma and Giant Coronary and Bilateral Common Iliac Artery Aneurysms

Clarke¹,

Choong²,

Raja³

et al. 2014

Annals of Vascular Surgery

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A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Abstract: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.

Cited by 6 publications

References 13 publications

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

A case of ruptured infective coronary artery aneurysm

The Management of Concomitant Renal Oncocytoma and Giant Coronary and Bilateral Common Iliac Artery Aneurysms

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