Left main coronary artery aneurysm

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).…”

Right coronary artery aneurysm: Percutaneous treatment with graft-coated stent during the acute phase of myocardial infarction

“…Several therapeutic approaches have been proposed, such as surgical intervention [2,8,9], conservative therapy [10] or percutaneous exclusion of the aneurismal lumen [11,12], depending on the size and location of the aneurysm and on the presence of endovascular thrombosis. However, management of these patients remains a challenge, because published recommendations are mainly based on anecdotal experiences and case reports.…”

CT diagnosis of coronary artery aneurysms

“…As discussed previously, the treatment of coronary artery aneurysms is unclear [2]. Some advocate early surgical or endovascular repair of these aneurysms whilst others believe that a conservative approach may be appropriate [2]. Coronary artery aneurysms have traditionally being diagnosed by X-ray angiography.…”

“…Coronary artery aneurysms have traditionally being diagnosed by X-ray angiography. Other techniques that have been utilised to detect coronary artery aneurysms include echocardiography and magnetic resonance imaging [2]. More recently, the development of multislice CT technology, in particular the 32-and 64-slice CT scanners, has led to the discovery of ECG-gated CT coronary angiography.…”

“…Therefore, the technique is well suited to the investigation of coronary artery aneurysms. Indeed, another centre has successfully demonstrated the presence of an internal mammary artery aneurysm by the use of CT [2,4].…”