Large atherosclerotic left main coronary aneurysm: a case report and review of literature

Right coronary artery aneurysm

“…This uncommon disorder International Journal of Cardiology 114 (2007) e122 -e123 www.elsevier.com/locate/ijcard has a prevalence on angiography ranging from 0.3% to 4.9% [1]. Usually related to atherosclerosis, the predicted 5-year mortality rate is nearly 30% [5], but treatment of this abnormalities is not well established as it is based mainly on case reports [2][3][4]6,7]. Some advocate conservative management, while others are in favour of a more aggressive approach (surgery or stenting).…”

Three Year Follow-Up of a Vein Patch Repair for a Coronary Artery Saccular Aneurysm of the Left Main Bifurcation

“…1,3) While the incidence of right coronary artery aneurysms was higher than that of left coronary artery aneurysms, the incidence of left main coronary artery aneurysms has been reported to be 0.1%, which is very rare. 4) The causes of coronary artery aneurysms are atherosclerotic, Kawasaki disease, connective tissue diseases such as Ehlers-Danlos or Marfan syndrome, arteritis such as systemic lupus erythematosus, Behçet disease or Takayasu arteritis, arterial infections, or trauma. Recently, PCI using drug-eluting stents has become one of causes of coronary artery aneurysms.…”

Octopus around heart: A Case Report

“…Hence treatment advised is coronary artery bypass grafting even in relatively asymptomatic patients. [3] Aneurysms involving left main coronary artery are distinguishably rare. Data regarding such aneurysm in geriatric population regarding their clinical presentation, mean time to diagnosis from presentation, associated comorbidities, involvement of other vessels in the body such as cerebral, renal or peripheral, treatment given and long time symptom free survival after treatment is lacking.…”