Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

Rigatelli, Gianluca; Gemelli, M; Franco, Gianfranco; Menini, A.; Rigatelli, Gianluca

doi:10.1016/j.ijcard.2003.04.051

Cited by 14 publications

(13 citation statements)

References 6 publications

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“…In a prospective study of 60 patients ages 65 ± 12 years, Lamblin et al demonstrated evidence of abdominal aortic aneurysms (AAAs) in 30% of patients who had angiographic diagnosis of coronary aneurysms, while only 5% of the 61 controls ages 63 ± 10 had AAA. Similarly, combinations of coronary, aortic, iliac aneurysms, as well as cerebral artery aneurysms have been reported but our patient had no evidence of aneurysmal vascular disease elsewhere . Cerebral and aortic aneurysms are associated with systemic hypertension; therefore, one may anticipate an association between hypertension and coronary aneurysms.…”

Section: Discussionsupporting

confidence: 65%

Percutaneous exclusion of a rapidly enlarging left main coronary artery aneurysm using coils and an Amplatzer™ septal occluder

Aggarwal

Mishkel

Goswami

2016

Cathet Cardio Intervent

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Coronary artery aneurysms (CAAs) are often an incidental finding amongst patients undergoing coronary angiography. Most CAAs are managed conservatively; rarely a larger CAA can lead to intramural thrombus formation and coronary artery embolization/obstruction even without the presence of significant stenosis. Despite these clinical implications, therapeutic options are limited to case reports and no clearly defined guidelines have been established for treatment. In this article, we present a unique case of a rapidly enlarging left main CAA, with no identifiable etiology that was treated with percutaneous exclusion via coil embolization and an Amplatzer™ septal occluder device. We also discuss existing literature, pathophysiology, and management options for CAAs. © 2016 Wiley Periodicals, Inc.

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Section: Discussionsupporting

confidence: 65%

Percutaneous exclusion of a rapidly enlarging left main coronary artery aneurysm using coils and an Amplatzer™ septal occluder

Aggarwal

Mishkel

Goswami

2016

Cathet Cardio Intervent

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“…11 In addition, CAE may be associated with concomitant aneurysms in different arterial beds. 12 Multiple CAEs in childhood and adolescence are usually late complications of Kawasaki disease, 13 which is an acute febrile illness occurring during infancy (usually before 5 years of age) and is associated with cervical lymphadeopathy, rash, and a "strawberry tongue." In survivors of Kawasaki disease, even if asymptomatic, large CAEs may be present and are frequently associated with significant CAD and even coronary occlusions.…”

Section: Introductionmentioning

confidence: 99%

Coronary artery aneurysm: A review

Pahlavan

Niroomand

2006

Clinical Cardiology

182

201

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Summary: Coronary artery ectasia (CAE) is found in 0.3-5% of patients undergoing coronary angiography. Atherosclerosis is the main cause, followed by Kawasaki disease and infectious emboli. The exact pathogenesis has not been diagnosed as yet, but an inflammatory process is underlying. Symptoms, if present, are usually related to myocardial ischemia. Angiography is the mainstay for diagnosis. The prognosis is generally favorable. Thromboembolic complications are rare with antiplatelet therapy, and spontaneous rupture generally is rare but occurs more commonly in Kawasaki disease. Management varies from antithrombotic therapy to surgical ligation. Controlling coronary heart disease risk factors sharply affects the prognosis in patients with CAE.

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“…First, the association of coronary artery aneurysm with abdominal aortic and iliac aneurysms is rare, and certainly suggests a common pathologic mechanism. While this association has recently been described in the context of inflammatory aneurysmal disease [11], this patient demonstrates that this association is not necessarily due to an acute inflammatory etiology. Second, the presentation of coronary aneurysms as a large spherical atrial mass by 2-D echocardiography is reported [12], but also rare, as this finding is more likely to represent a blood or echinococcal cyst.…”

Section: Discussionmentioning

confidence: 51%

Giant coronary artery aneurysms in a Japanese octogenarian: The oldest case of Kawasaki disease?

Chun

Armstrong

Pang

et al. 2010

Journal of Cardiology Cases

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Kawasaki disease (KD) is a leading cause of non-atherosclerotic coronary artery aneurysms and, less commonly, peripheral artery aneurysms. We report an 81-year-old Japanese man from Hawaii with a history of an abdominal aortic aneurysm, bilateral iliac aneurysms, and an ambiguous right atrial cystic mass. The patient developed new-onset atrial fibrillation during lithotripsy. Angiography and magnetic resonance imaging revealed giant coronary artery aneurysms of the right coronary artery (RCA) and left anterior descending artery, and a thoracic aortic aneurysm. The RCA aneurysm was greater than 2 inches in diameter at the time of operation. Although we cannot confirm whether the patient had KD during childhood, this is the most likely diagnosis in the absence of a connective tissue disorder, systemic vasculitis, or atherosclerotic risk factors. This patient may represent the oldest case of KD, predating the earliest known case by more than 20 years. This case sheds light on the historical epidemiology of KD and its clinical course, especially regarding late vascular sequelae.

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Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

Cited by 14 publications

References 6 publications

Percutaneous exclusion of a rapidly enlarging left main coronary artery aneurysm using coils and an Amplatzer™ septal occluder

Percutaneous exclusion of a rapidly enlarging left main coronary artery aneurysm using coils and an Amplatzer™ septal occluder

Coronary artery aneurysm: A review

Giant coronary artery aneurysms in a Japanese octogenarian: The oldest case of Kawasaki disease?

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