Proximal Left Main Coronary Artery Aneurysm Presenting as ST-Elevation Myocardial Infarction Treated by Stenting.

Autor: Vinod VC; Mediclinic City Hospital, Dubai, UAE., Yousif ZE; Mediclinic City Hospital, Dubai, UAE., Salim NO; Mediclinic City Hospital, Dubai, UAE., Majwal T; Mediclinic City Hospital, Dubai, UAE.
Jazyk: angličtina
Zdroj: Case reports in cardiology [Case Rep Cardiol] 2020 Nov 06; Vol. 2020, pp. 8833917. Date of Electronic Publication: 2020 Nov 06 (Print Publication: 2020).
DOI: 10.1155/2020/8833917
Abstrakt: Coronary artery aneurysm (CAA) is a rare cardiac anomaly with a reported incidence of 0.3-4.9% of patients who undergo coronary angiography. The term is used when the coronary artery diameter exceeds more than 50% or 1.5 times the reference diameter. It can be congenital or acquired. The commonest acquired cause in an adult is atherosclerosis and in a child is Kawasaki's disease. The commonest culprit vessel is the Right Coronary Artery (RCA), followed by Left Circumflex (LCx) and Left Anterior Descending (LAD). Left main coronary aneurysms are extremely rare in clinical practice. Coronary angiography is the gold standard procedure, both for diagnosis and treatment. We report a 49-year-old male who presented with anterior wall ST-Elevation Myocardial Infarction (STEMI). The initial angiography showed LAD stent thrombosis, but when the second angiography was done, there was spontaneous recanalization of the LAD. Coronary angiography was performed at our hospital, which revealed a long left main coronary artery aneurysm measuring 9.8 mm-maximum diameter. This was treated with a size 5 × 24 mm Begraft coronary stent.
Competing Interests: The authors certify that we have no affiliations with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript.
(Copyright © 2020 Vijay Chander Vinod et al.)
Databáze: MEDLINE
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