Large aneurysm of the left main coronary artery: A case report
Left main coronary artery aneurysms are very rare and are incidentally encountered in about 0.1% of patients undergoing angiography. Atherosclerosis represents the main cause of this aneurysm in adult patients. Here, the author presents a case of a 58-year-old female with a history of hypertension a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Saudi Journal of Medicine and Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sjmms.net/article.asp?issn=1658-631X;year=2019;volume=7;issue=3;spage=187;epage=189;aulast=Alshehri |
| _version_ | 1818277693694672896 |
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| author | Abdullah M Alshehri |
| author_facet | Abdullah M Alshehri |
| author_sort | Abdullah M Alshehri |
| collection | DOAJ |
| description | Left main coronary artery aneurysms are very rare and are incidentally encountered in about 0.1% of patients undergoing angiography. Atherosclerosis represents the main cause of this aneurysm in adult patients. Here, the author presents a case of a 58-year-old female with a history of hypertension and diabetes who had a Canadian Cardiovascular Society Grade II–III angina for the past 6 months. Selective coronary angiography revealed a large aneurysm involving the left main coronary artery (measuring 2 cm × 3 cm) with extensive coronary calcifications, ectatic proximal left circumflex followed by 80% stenotic lesion with normal left anterior descending and right coronary artery. The patient was managed with coronary artery bypass grafting along with ligation of the aneurysm. At the 3-month follow-up, the patient was asymptomatic. Therefore, distal coronary artery bypass surgery represents one of the therapeutic options and was safe and effective in our case. |
| first_indexed | 2024-12-12T23:05:36Z |
| format | Article |
| id | doaj.art-ad5452e267784f28b98bb9ee563f9f6d |
| institution | Directory Open Access Journal |
| issn | 1658-631X |
| language | English |
| last_indexed | 2024-12-12T23:05:36Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Medicine and Medical Sciences |
| spelling | doaj.art-ad5452e267784f28b98bb9ee563f9f6d2022-12-22T00:08:42ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2019-01-017318718910.4103/sjmms.sjmms_47_18Large aneurysm of the left main coronary artery: A case reportAbdullah M AlshehriLeft main coronary artery aneurysms are very rare and are incidentally encountered in about 0.1% of patients undergoing angiography. Atherosclerosis represents the main cause of this aneurysm in adult patients. Here, the author presents a case of a 58-year-old female with a history of hypertension and diabetes who had a Canadian Cardiovascular Society Grade II–III angina for the past 6 months. Selective coronary angiography revealed a large aneurysm involving the left main coronary artery (measuring 2 cm × 3 cm) with extensive coronary calcifications, ectatic proximal left circumflex followed by 80% stenotic lesion with normal left anterior descending and right coronary artery. The patient was managed with coronary artery bypass grafting along with ligation of the aneurysm. At the 3-month follow-up, the patient was asymptomatic. Therefore, distal coronary artery bypass surgery represents one of the therapeutic options and was safe and effective in our case.http://www.sjmms.net/article.asp?issn=1658-631X;year=2019;volume=7;issue=3;spage=187;epage=189;aulast=AlshehriAneurysmcoronary arteryleft main |
| spellingShingle | Abdullah M Alshehri Large aneurysm of the left main coronary artery: A case report Saudi Journal of Medicine and Medical Sciences Aneurysm coronary artery left main |
| title | Large aneurysm of the left main coronary artery: A case report |
| title_full | Large aneurysm of the left main coronary artery: A case report |
| title_fullStr | Large aneurysm of the left main coronary artery: A case report |
| title_full_unstemmed | Large aneurysm of the left main coronary artery: A case report |
| title_short | Large aneurysm of the left main coronary artery: A case report |
| title_sort | large aneurysm of the left main coronary artery a case report |
| topic | Aneurysm coronary artery left main |
| url | http://www.sjmms.net/article.asp?issn=1658-631X;year=2019;volume=7;issue=3;spage=187;epage=189;aulast=Alshehri |
| work_keys_str_mv | AT abdullahmalshehri largeaneurysmoftheleftmaincoronaryarteryacasereport |