Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR)

Núñez‐Gil, Iván J.; Cerrato, Enrico; Bollati, Mario; Nombela‐Franco, Luis; Terol, Belén; Alfonso-Rodríguez, Emilio; Freire, Santiago Jesús Camacho; Villablanca, Pedro A.; Santos, Ignacio J. Amat; Hernández, José M. de la Torre; Pascual, Isaac; Liebetrau, Christoph; Camacho, Benjamín; Pavani, Marco; Albistur, Juan; Latini, Roberto; Varbella, Ferdinando; Jiménez-Díaz, Víctor Alfonso; Piraino, Davide; Mancone, Massimo; Alfonso, Fernándo; Linares, José A.; Rodríguez-Olivares, Ramón; Mazuecos, Jesús M. Jiménez; Molinero, Jorge Palazuelos; Flecha, Alejandro Sánchez-Grande; Gómez‐Hospital, Joan Antoni; Ielasi, Alfonso; Lozano, Íñigo; Omedè, Pierluigi; Bagur, Rodrigo; Ugo, Fabrizio; Medda, Massimo; Louka, Boshra; Kala, Petr; Escaned, Javier; Bautista, Daniel; Feltes, Gisela; Salinas, Pablo; Alkhouli, Mohamad; Macaya, Carlos; Fernández‐Ortíz, Antonio; Benítez, Piter Martínez; Menchero, Antonio Gómez; Jiménez, Javier León; Fernández, José Francisco Díaz; Makkiya, Mohammed; Bulcha, Nurilign; Suri, Sarabjeet; Rojas, P. Karline; Camarero, Tamara García; Avanzas, Pablo; Morı́s, César; Berndt, Christoph; Trujillo, Pedro; Vignolo, Gustavo; Mila, Rafael; Buccheri, Dario; Silva, Pedro; Quadri, Giorgio; Tomassini, Francesco; Rolfo, Christian; Hernández, Etelberto Hernández; Alonso, José Antonio Baz; Romo, Andrés Íñiguez; Teresi, Giulia; Andolina, Giuseppe; Calcagno, Simone; Navarrete, Gonzalo; Rivero, Fernando; Cuesta, Javier; Benedetto, Daniella; Arslan, Fatih; Stella, Peter R.; Sánchez, Ma. Isabel Barrionuevo; Vicente, Rafael Gómez; Montón, Patricia Clares; Carballeira, Dámaris; Bowden, Geoffrey Yanes; Torres, Manuel Vargas; Fernández‐Cisnal, Agustín; Leite, Juan Pablo Canepa; Grigis, Giulietta; Moretti, Claudio; Montefusco, Antonio; D’Ascenzo, Fabrizio; Capasso, Piera; Bande, Marta; Casilli, Francesco; Morkous, Ramez; Yang, Eric H.; Ramakrishna, Harish; Poloczek, Martin; Miklík, Roman; Hallak, Ahmad; Cortese, Bernardo; Jimenez-Quevedo, Pilar; Gonzalo, Nieves; Trigo, María Del; Córdova, Alfonso de Hoyos y Fernández de; Agustín, José; Munir, Armghan; Vivas, David

doi:10.1016/j.ijcard.2019.05.067

Cited by 47 publications

(57 citation statements)

References 22 publications

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“…One study recommends surgical treatment for all CAAs that are >3 cm because of the risk of rupture [ 10 ]. The Coronary Artery Aneurysm Registry (CAAR) [ 12 ], the largest multicentre registry (including >1500 patients) of such cases, found the mortality and major adverse cardiac events (MACE) rates to be 15.3% and 31%, respectively, in such cohorts, and hence timely treatment is of utmost importance.…”

Section: Discussionmentioning

confidence: 99%

Giant Coronary Aneurysm Causing Ostial Occlusion of Coronary Artery by Mass Effect: A Case Report

Fanai

Malviya

Mishra

et al. 2021

Cureus

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Coronary atherosclerosis can rarely lead to complications like giant coronary aneurysm (GCA), and acute myocardial infarction (AMI) due to thrombosis in the GCA is even rarer. Multimodality imaging is preferred over relying solely on selective coronary angiogram in such cases due to the limitations of invasive coronary angiogram in visualizing thrombosed aneurysms. We report a rare case of a patient with ST-elevation myocardial infarction caused by ostial occlusion of a right coronary artery (RCA) due to mass effect created by thrombosis in a GCA, thereby highlighting a mechanism of AMI that has not been previously described in GCA. Multimodality imaging led to the correct diagnosis and detection of the underlying mechanism, which had been completely missed by invasive coronary angiography (ICA). We also discuss the utility of multimodality imaging in such cases.

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Section: Discussionmentioning

confidence: 99%

Giant Coronary Aneurysm Causing Ostial Occlusion of Coronary Artery by Mass Effect: A Case Report

Fanai

Malviya

Mishra

et al. 2021

Cureus

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“…Patients with CAA can be completely asymptomatic, as in our patient, but can present with a variety of symptoms, including chest pain, congestive heart failure, acute coronary syndrome, and sudden cardiac death ( 1 ). The Coronary Artery Aneurysm Registry, the largest multicenter registry, found in adult patients a mortality rate of 15.3% and a major adverse cardiac events rate of 31% ( 4 ). However, no reports have been published with respect to specific prognosis of patients with CAEVB complicated by CAA.…”

Section: Discussionmentioning

confidence: 99%

“…With respect to medical treatment for CAAs, the decision was made to administer aspirin alone to prevent coronary artery disease, because the main etiology of CAA is atherosclerosis ( 1 ). In addition, the Coronary Artery Aneurysm Registry has reported that aspirin is the preventative agent most often prescribed ( 4 ). Moreover, although a previous report has shown the efficacy of anticoagulation therapy in a specific patient with the complication of thrombus ( 8 ), the present patient had no evidence of thrombus of the coronary artery.…”

Section: Discussionmentioning

confidence: 99%

A Rare Complication of Chronic Active Epstein-Barr Virus Infection

et al. 2020

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“…Aneurysmal coronary artery disease is defined as a localized luminal dilatation of measuring at least 1.5 times the diameter of the normal adjacent segment and is seen in 0.3% to 5% of patients who are undergoing invasive coronary angiography ( 1 , 2 , 3 ). Extremely large aneurysms, as reported here (40 mm), are very rare.…”

Section: Case Descriptionmentioning

confidence: 99%