Large, isolated, congenital aneurysm of the anterior descending coronary artery.

Abstract

A large congenital aneurysm, arising from the first diagonal branch of the left anterior descending artery in a 52 year old woman was diagnosed by transoesophageal echocardiography, computed tomography, and magnetic resonance imaging. Surgical closure of the aneurysm was successful. (Br HeartJ7 1993;70:274-275) Large congenital aneurysms of the coronary arteries are rare.'-5 Most of the reported aneurysms were diagnosed at necropsy, and rarely by non-invasive methods before coronary angiography.6 We report a patient in whom a large coronary arterial aneurysm was diagnosed by transoeosophageal echocardiogram, computed tomography, and magnetic resonance imaging before operation.Case report A 52 year old woman was admitted to hospital with a five month history of chest tightness and cough. She had episodes of non-exertional chest tightness lasting five minutes. This was generally followed by coughing that produced mucoid sputum. She was a nonsmoker. Her (fig 3).The other branches of the coronary artery were all normal. The aneurysm was partially filled by thrombus. The patient underwent marsupialisation of the aneurysm. She has remained symptom free since surgery.

Coronary artery aneurysms: A 25‐patient study

“…In contrast, others reported that discrete aneurysms did not appear to rupture, and that these patients might be compatible with long-term survival [37]. The management of congenital aneurysms is less certain; three patients remained free of complications after 4 to 8 years of watchful waiting [38][39][40]. In asymptomatic patients, the risks of surgical intervention should be balanced by any potential risks if the aneurysm is left alone.…”

Coronary artery aneurysms: A 25-patient study

“…Due to lack of controlled clinical trials, controversies persist regarding the use of surgical intervention or medical management. The management of congenital aneurysms is less certain; three patients remained free of complications after 4 to 8 years of watchful waiting [38][39][40]. In contrast, others reported that discrete aneurysms did not appear to rupture, and that these patients might be compatible with long-term survival [37].…”

Surgical treatment of circumflex artery aneurysm with fistula into coronary sinus

“…кардиология и сердечно-сосудистая хирургия, 3,2016 Аневризма огибающей артерии (АОА) считается крайне редкой патологией и, по данным аутопсий, встре-чается в 1,4% всех зарегистрированных случаев [4]. В структуре всех сердечно-сосудистых заболеваний (ССЗ) частота ее встречаемости достигает 0,3-1% [1,9].…”

“…Это край-не редкая патология впервые описана G. Morgagni [1] в 1761 г. при аутопсии. Наиболее распространенной при-чиной развития подобной патологии считается коронар-ная болезнь сердца [3]. Ряд авторов [6] 3,2016 коронарного русла имеют в разной степени атрофии и разрушения мышечно-эластических элементов стенки сосуда.…”

“…Наиболее распространенной при-чиной развития подобной патологии считается коронар-ная болезнь сердца [3]. Ряд авторов [6] 3,2016 коронарного русла имеют в разной степени атрофии и разрушения мышечно-эластических элементов стенки сосуда. Аневризмы редко проявляются клинически, од-нако могут привести к летальному исходу вследствие разрыва и тампонады сердца [2].…”