Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report

Coronary artery aneurysms (CAAs) are rare, and aneurysms of the left main coronary artery are extremely rare. Atherosclerosis is the main cause of CAAs. An 87-year-old man with atypical chest pain of 1 month’s duration presented to a hospital. Physical examinations of the patient’s cardiopulmona...

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Main Authors: Erfan Kazemi, Hossein Sheibani
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-01-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/1510
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author Erfan Kazemi
Hossein Sheibani
author_facet Erfan Kazemi
Hossein Sheibani
author_sort Erfan Kazemi
collection DOAJ
description Coronary artery aneurysms (CAAs) are rare, and aneurysms of the left main coronary artery are extremely rare. Atherosclerosis is the main cause of CAAs. An 87-year-old man with atypical chest pain of 1 month’s duration presented to a hospital. Physical examinations of the patient’s cardiopulmonary system and vital signs were unremarkable. Electrocardiography showed a right bundle branch block and an atypical ST-segment elevation in the inferior leads. Coronary angiography demonstrated a huge aneurysm in the left main without any clots. Additionally, there were no remarkable findings in cardiac monitoring and spiral chest computed tomography scanning. Ultimately, after he received nitroglycerin, β-blockers, Ca++ channel blockers, Aspirin (ASA), and clopidogrel (Plavix), his pain was relieved.
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spelling doaj.art-bec9e947f89642208733063aa18b393e2022-12-22T02:34:22ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712022-01-0117110.18502/jthc.v17i1.9324Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case ReportErfan Kazemi0Hossein Sheibani11. Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Imam Ave., Shahroud, Iran Coronary artery aneurysms (CAAs) are rare, and aneurysms of the left main coronary artery are extremely rare. Atherosclerosis is the main cause of CAAs. An 87-year-old man with atypical chest pain of 1 month’s duration presented to a hospital. Physical examinations of the patient’s cardiopulmonary system and vital signs were unremarkable. Electrocardiography showed a right bundle branch block and an atypical ST-segment elevation in the inferior leads. Coronary angiography demonstrated a huge aneurysm in the left main without any clots. Additionally, there were no remarkable findings in cardiac monitoring and spiral chest computed tomography scanning. Ultimately, after he received nitroglycerin, β-blockers, Ca++ channel blockers, Aspirin (ASA), and clopidogrel (Plavix), his pain was relieved. https://jthc.tums.ac.ir/index.php/jthc/article/view/1510Coronary aneurysmCoronary artery diseaseAngiographyChest painThrombosis
spellingShingle Erfan Kazemi
Hossein Sheibani
Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
Journal of Tehran University Heart Center
Coronary aneurysm
Coronary artery disease
Angiography
Chest pain
Thrombosis
title Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
title_full Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
title_fullStr Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
title_full_unstemmed Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
title_short Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report
title_sort recurrent chest pain due to a huge left main aneurysm a case report
topic Coronary aneurysm
Coronary artery disease
Angiography
Chest pain
Thrombosis
url https://jthc.tums.ac.ir/index.php/jthc/article/view/1510
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AT hosseinsheibani recurrentchestpainduetoahugeleftmainaneurysmacasereport