Giant coronary aneurysms producing chest pain
Abstract Background Coronary artery aneurysms (CAA) are defined as localized coronary artery dilations more than 1.5 times the diameter of the adjacent segments [1]. Giant coronary aneurysms (GCAA) are unusual and aneurysms on the left side are even rarer. Mechanisms are unclear, but seem predominat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-019-0872-4 |
| _version_ | 1818304525794017280 |
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| author | Raymond Pfister Yalda Sadeghi Javier Orrit René Prêtre |
| author_facet | Raymond Pfister Yalda Sadeghi Javier Orrit René Prêtre |
| author_sort | Raymond Pfister |
| collection | DOAJ |
| description | Abstract Background Coronary artery aneurysms (CAA) are defined as localized coronary artery dilations more than 1.5 times the diameter of the adjacent segments [1]. Giant coronary aneurysms (GCAA) are unusual and aneurysms on the left side are even rarer. Mechanisms are unclear, but seem predominated by atherosclerosis. Until now, management of giant coronary aneurysm is still unclear. Case presentation A 62-year-old man, presented a 4-month history of progressive chest pain aggravated by physical CAAs: 3 on the right coronary artery (RCA), including a giant one, and one on the intermediate branch. Intraoperatively, we found two proximal RCA CAAs of 2 cm each, a 6 cm distal RCA CAA partially thrombosed, and a 3 cm CAA on the intermediate branch. The two largest CAAs were resected and two saphenous graft bypasses were performed. Conclusions Treatment options include medical treatment (antiaggregation, anticoagulation), percutaneous coronary angioplasty and surgery. Results of observational or conservative management in the few cases of GCAA described in literature, appear to have poor results. Surgery is a good option with low operative risk, especially in giant coronary aneurysms. |
| first_indexed | 2024-12-13T06:12:05Z |
| format | Article |
| id | doaj.art-49adaabfd36641db9d5e63c416bc0ddd |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-13T06:12:05Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-49adaabfd36641db9d5e63c416bc0ddd2022-12-21T23:57:03ZengBMCJournal of Cardiothoracic Surgery1749-80902019-03-011411310.1186/s13019-019-0872-4Giant coronary aneurysms producing chest painRaymond Pfister0Yalda Sadeghi1Javier Orrit2René Prêtre3Department of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois (CHUV)Department of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois (CHUV)Department of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois (CHUV)Department of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois (CHUV)Abstract Background Coronary artery aneurysms (CAA) are defined as localized coronary artery dilations more than 1.5 times the diameter of the adjacent segments [1]. Giant coronary aneurysms (GCAA) are unusual and aneurysms on the left side are even rarer. Mechanisms are unclear, but seem predominated by atherosclerosis. Until now, management of giant coronary aneurysm is still unclear. Case presentation A 62-year-old man, presented a 4-month history of progressive chest pain aggravated by physical CAAs: 3 on the right coronary artery (RCA), including a giant one, and one on the intermediate branch. Intraoperatively, we found two proximal RCA CAAs of 2 cm each, a 6 cm distal RCA CAA partially thrombosed, and a 3 cm CAA on the intermediate branch. The two largest CAAs were resected and two saphenous graft bypasses were performed. Conclusions Treatment options include medical treatment (antiaggregation, anticoagulation), percutaneous coronary angioplasty and surgery. Results of observational or conservative management in the few cases of GCAA described in literature, appear to have poor results. Surgery is a good option with low operative risk, especially in giant coronary aneurysms.http://link.springer.com/article/10.1186/s13019-019-0872-4Coronary ectasiaGiant coronary aneurysmCoronary bypass |
| spellingShingle | Raymond Pfister Yalda Sadeghi Javier Orrit René Prêtre Giant coronary aneurysms producing chest pain Journal of Cardiothoracic Surgery Coronary ectasia Giant coronary aneurysm Coronary bypass |
| title | Giant coronary aneurysms producing chest pain |
| title_full | Giant coronary aneurysms producing chest pain |
| title_fullStr | Giant coronary aneurysms producing chest pain |
| title_full_unstemmed | Giant coronary aneurysms producing chest pain |
| title_short | Giant coronary aneurysms producing chest pain |
| title_sort | giant coronary aneurysms producing chest pain |
| topic | Coronary ectasia Giant coronary aneurysm Coronary bypass |
| url | http://link.springer.com/article/10.1186/s13019-019-0872-4 |
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