Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Jiang, Xiaoyan; Li, Jiamin; Zhang, Xuehua; Chen, Han

doi:10.1177/0300060521999525

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Among the 337 studies that were found, we excluded cases with patients under the age of 18 years and papers written in languages other than English. Among the 30 cases with these conditions, we further selected 18 cases from 14 publications with definite diagnoses (19 cases from 15 publications, including our own) (Table 2 )[ 22 - 35 ].…”

Section: Discussionmentioning

confidence: 99%

ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literature

Lee¹,

Seo²,

Shin³

et al. 2022

WJCC

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BACKGROUND Kawasaki disease (KD) is an acute self-limiting febrile vasculitis that occurs during childhood and can cause coronary artery aneurysm (CAA). CAAs are associated with a high rate of adverse cardiovascular events. CASE SUMMARY A Korean 35-year-old man with a 30-year history of KD presented to the emergency room with chest pain. Emergent coronary angiography was performed as ST-segment elevation in the inferior leads was observed on the electrocardiogram. An aneurysm of the left circumflex (LCX) coronary artery was found with massive thrombi within. A drug-eluting 4.5 mm 23 mm-sized stent was inserted into the occluded area without complications. The maximal diameter of the LCX was 6.0 mm with a Z score of 4.7, suggestive of a small aneurysm considering his age, sex, and body surface area. We further present a case series of 19 patients with KD, including the current patient, presenting with acute coronary syndrome (ACS). Notably, none of the cases showed Z scores; only five patients (26%) had been regularly followed up by a physician, and only one patient (5.3%) was being treated with antithrombotic therapy before ACS occurred. CONCLUSION For KD presenting with ACS, regular follow up and medical therapy may be crucial for improved outcomes.

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Section: Discussionmentioning

confidence: 99%

ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literature

Lee¹,

Seo²,

Shin³

et al. 2022

WJCC

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“…Аневризма коронарной артерии (АКА) определяется как локальная необратимая дилатация сегмента коронарной артерии (КА), превышающая 50% от размера смежных сегментов [1].…”

Section: Introductionunclassified

“…ГАКА имеют склонность к тромбозу, стенозированию и разрыву [1,2,6,7]. Эти особенности обусловливают развитие острого инфаркта миокарда (ОИМ), приводящее к повышению смертности от острой сердечной недостаточности (ОСН) и нарушений ритма [8] либо тампонаде сердца и внезапной сердечной смерти [1,3,9]. Вследствие этого ГАКА необходимо рассматривать как независимый предиктор смертности [3].…”

Section: Introductionunclassified

Patient with giant aneurism of the left coronary artery: a case report

Bazylev

Kokshin

Paramonova

et al. 2022

Medicinskaâ vizualizaciâ

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Background. Giant coronary artery aneurysms are extremely rare findings. According to foreign authors, their prevalence as a result of autopsy ranged from 0.02 to 0.2%. Most often, they do not have specific symptoms and are detected after the development of complications, such as acute coronary syndrome, myocardial infarction. The risk of sudden complications causes an unfavorable prognosis of the disease and requires immediate surgical correction.Aim: to demonstrate the effectiveness of radiology methods in assessing coronary anatomy and the possibility of visualization before planning surgery.Materials and methods. The patient was referred to the Federal State Budgetary Institution “FCCVS” of the Ministry of Health of Russia (Penza) for additional examination and surgical treatment. Before surgery, to clarify the features of the macromorphology of the aneurysm, selective coronary angiography and CT coronary angiography were performed.Results. Before surgery, according to CT coronary angiography, a partially thrombosed fusiform aneurysm was detected in the anterior descending artery with a maximum size of 7.0 x 3.5 cm, adjacent to the pulmonary artery trunk and left atrial appendage.Conclusion. In modern conditions, the methods of radiology are successfully used to clarify the localization of aneurysms and individual topographic and anatomical features of the coronary arteries.

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Coronary Bypass in an Adolescent With Systemic Lupus Erythematosus and Acute Coronary Syndrome

Rubio-Granda,

Murias Loza,

Covadonga Fernández Barrio

et al. 2024

Pediatrics

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A 12-year-old female with active pediatric juvenile systemic lupus erythematosus presented to the emergency department because of episodes of oppressive central thoracic pain associated with pallor, sweating, and muscle weakness that persisted for >30 minutes. During the last episode, the electrocardiogram revealed alterations in cardiac repolarization coincident with progressive troponin T elevation. An angio computed tomography revealed a 20 mm long complete segmental obstruction of the proximal anterior descending artery that was confirmed by angiography. Because this extensive occlusion did not permit a noninvasive procedure, an off-pump coronary bypass of the internal mammary artery to the anterior descending artery was performed without complication. Six months after the procedure, myocardial function was good. To our knowledge, this is the first case report of an adolescent girl with acute coronary syndrome complicating juvenile systemic lupus erythematosus that was treated with a surgical procedure.

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Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Cited by 3 publications

References 27 publications

ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literature

ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literature

Patient with giant aneurism of the left coronary artery: a case report

Coronary Bypass in an Adolescent With Systemic Lupus Erythematosus and Acute Coronary Syndrome

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