Multiple giant coronary artery aneurysms: a case report

Salihi, Suhair Al; Jacobi, E.; Hunter, Robert L.; Buja, Maximilian

doi:10.1016/j.carpath.2016.01.001

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…Because of the rarity of gCAAs, there are no standardized management guidelines, and current practice is based on reported experience rather than controlled trials 7,8,20 . A literature review suggests that surgical correction is generally accepted as the preferred treatment for gCAAs, since it allows excision of the aneurysmal sac and management of associated anomalies and prevents the aforementioned complications 2,5,7‐9,19 .…”

Section: Discussionmentioning

confidence: 99%

“…Because of the rarity of gCAAs, there are no standardized management guidelines, and current practice is based on reported experience rather than controlled trials. 7,8,20 A literature review suggests that surgical correction is generally accepted as the preferred treatment for gCAAs, since it allows excision of the aneurysmal sac and management of associated anomalies and prevents the aforementioned complications. 2,5,[7][8][9]19 Surgical approaches include aneurysm resection with distal coronary artery bypass grafting, isolated coronary artery bypass grafting, aneurysm plication, and saphenous vein patch repair of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic giant right coronary artery aneurysm in Kawasaki disease: A case report

Belayneh¹,

Calais

2020

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Asymptomatic giant right coronary artery aneurysm in Kawasaki disease: A case report

Belayneh¹,

Calais

2020

Clinical Case Reports

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“…Giant CAA typically involves a single vessel. Multiple‐vessel involvement is exceedingly rare but has been recently reported .…”

Section: Discussionmentioning

confidence: 99%

Multiple Giant Coronary Artery Aneurysms: A Rare Cause of Sudden Cardiac Death

Janík

Hejna

Ublová

et al. 2016

Journal of Forensic Sciences

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Multiple giant aneurysms involving the coronary arteries are uncommon and rarely reported. In the presented case, a 63-year-old man with poorly controlled hypertension died suddenly. Gross autopsy examination showed multiple giant thrombus-filled coronary artery aneurysms, atherosclerotic coronary artery disease, and cardiomegaly. Histological sections of the coronary aneurysms showed atherosclerotic changes with both organized and fresh thrombus. Giant coronary aneurysm is defined as a segmental enlargement of a coronary artery with a diameter exceeding 20 mm or more. The main etiology of this nebulous entity is attributed to atherosclerosis and inflammatory or inherited connective tissue disorders with the remainder being congenital, infectious, or idiopathic. Before its cataclysmic presentation, when ruptured or thrombosed, giant coronary aneurysm usually has a silent clinical course. Sudden death owing to giant multiple coronary aneurysms is rare and mandates careful classification of the aneurysms and prudent search for autoimmune-mediated or genetically based factors for subsequent ancillary autopsy studies.

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