Thrombosed left circumflex artery aneurysm presenting with myocardial infarction

Abstract

Coronary artery aneurysms are life-threatening conditions that are quite uncommon in adults. They are observed in 1.1% to 4.9% of patients undergoing coronary angiography. They are usually located in the right coronary artery, may sometimes be thrombosed or rupture, and occasionally reach an enormous size leading to compressive symptoms. We report a case of thrombosed left circumflex artery aneurysm presenting with myocardial infarction. The thrombosed aneurysm, which could not be clearly demonstrated by coronary angiography, was definitively diagnosed by coronary computed tomography angiography. No operation was planned owing to total thrombosis of the aneurysm.

Redo Operation of Recurrent Giant Coronary Artery Aneurysm: Optimizing Surgical Strategy

“…Most often, the right coronary artery is affected (50%), whereas malformation of the left main coronary artery is observed in only 1%. 1 A coronary enlargement with a diameter over 2.0 cm is designated as a giant coronary artery aneurysm, which is an extremely rare pathology, but most likely to be associated with occasionally life-threatening complications. [2][3][4] Main causal factors for coronary artery aneurysms are atherosclerosis, congenital disorders, Kawasaki disease or previous coronary artery interventions with or without implantation of drug-eluting stents.…”

“…But until now, there is no consensus about the optimal surgical treatment strategy. [1][2][3][4][5][6][7][8]…”