Giant left anterior descending coronary artery aneurysm in an adult male patient with ST elevation myocardial infarction

Abstract

Coronary artery aneurysm is a rare clinical entity encountered incidentally 0.3–5% among patients who undergo coronary angiography. Even giant coronary artery aneurysm is much rarer with an incidence of 0.02% among all atherosclerotic cases. Due to rare occurrence and lack of controlled trials, clinical presentation, prognosis and management of giant coronary artery aneurysm are under controversies in the literature. We report a 43-year-old male patient admitted to our hospital with a typical chest pain associated with ST elevation changes in anterior chest leads and elevated cardiac enzymes. Coronary angiography of the patient revealed a large (1.5 cm × 3 cm) aneurysm of proximal left anterior descending coronary artery. We performed a successful surgical excision and coronary bypass surgery. The patient had an uncomplicated course.

Rationale and design of a multicenter, international and collaborative Coronary Artery Aneurysm Registry (CAAR)

“…Goals are to define the natural history of the disease (epidemiology, aneurysm growing patterns, etiologies), whether the clinical presentation (acute or not) should modify our management strategy, main medical treatment aspects (eg, antiplatelet therapy, how and for how long, need for anticoagulation), revascularization strategies (interventional or surgical approaches preferred, and when), and, for angioplasty procedures, if we should choose drug‐eluting stents or covered stents rather than others …”