Left Main Coronary Artery Aneurysm
Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and tre...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2016-07-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/516 |
| _version_ | 1811316491180572672 |
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| author | Hossein Doustkami Nasrollah Maleki Zahra Tavosi |
| author_facet | Hossein Doustkami Nasrollah Maleki Zahra Tavosi |
| author_sort | Hossein Doustkami |
| collection | DOAJ |
| description | Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and treatment. Depending on the severity of the coexisting coronary stenosis, patients with left main coronary artery aneurysms can be effectively managed either surgically or pharmacologically. We herein report a case of left main coronary artery aneurysm in a 72-year-old man with a prior history of hypertension presenting to our hospital because of unstable angina. The electrocardiogram showed ST-segment depression and T-wave inversion in the precordial leads. All the data of blood chemistry were normal. Echocardiography showed akinetic anterior wall, septum, and apex, mild mitral regurgitation and ejection fraction of 45%. Coronary angiography revealed a saccular aneurysm of the left main coronary artery with significant stenosis in the left anterior descending, left circumflex, and right coronary artery. The patient immediately underwent coronary artery bypass grafting and ligation of the aneurysm. At six months’ follow-up, he remained asymptomatic. |
| first_indexed | 2024-04-13T11:49:49Z |
| format | Article |
| id | doaj.art-a649c4332f0d4133a1f2f80893eb3be6 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-04-13T11:49:49Z |
| publishDate | 2016-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-a649c4332f0d4133a1f2f80893eb3be62022-12-22T02:48:04ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712016-07-01111417Left Main Coronary Artery AneurysmHossein Doustkami0Nasrollah Maleki1Zahra Tavosi2Imam Khomeini Hospital, Ardabil University of Medical Sciences, Iran.Imam Khomeini Hospital, Ardabil University of Medical Sciences, Iran.Khalije Fars Hospital, Bushehr University of Medical Sciences, Bushehr, Iran.Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and treatment. Depending on the severity of the coexisting coronary stenosis, patients with left main coronary artery aneurysms can be effectively managed either surgically or pharmacologically. We herein report a case of left main coronary artery aneurysm in a 72-year-old man with a prior history of hypertension presenting to our hospital because of unstable angina. The electrocardiogram showed ST-segment depression and T-wave inversion in the precordial leads. All the data of blood chemistry were normal. Echocardiography showed akinetic anterior wall, septum, and apex, mild mitral regurgitation and ejection fraction of 45%. Coronary angiography revealed a saccular aneurysm of the left main coronary artery with significant stenosis in the left anterior descending, left circumflex, and right coronary artery. The patient immediately underwent coronary artery bypass grafting and ligation of the aneurysm. At six months’ follow-up, he remained asymptomatic.https://jthc.tums.ac.ir/index.php/jthc/article/view/516Coronary vessels • Coronary angiography • Aneurysm |
| spellingShingle | Hossein Doustkami Nasrollah Maleki Zahra Tavosi Left Main Coronary Artery Aneurysm Journal of Tehran University Heart Center Coronary vessels • Coronary angiography • Aneurysm |
| title | Left Main Coronary Artery Aneurysm |
| title_full | Left Main Coronary Artery Aneurysm |
| title_fullStr | Left Main Coronary Artery Aneurysm |
| title_full_unstemmed | Left Main Coronary Artery Aneurysm |
| title_short | Left Main Coronary Artery Aneurysm |
| title_sort | left main coronary artery aneurysm |
| topic | Coronary vessels • Coronary angiography • Aneurysm |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/516 |
| work_keys_str_mv | AT hosseindoustkami leftmaincoronaryarteryaneurysm AT nasrollahmaleki leftmaincoronaryarteryaneurysm AT zahratavosi leftmaincoronaryarteryaneurysm |