Asymptomatic giant aneurysm of the left anterior descending coronary artery: A case report and review of the literature
| Autor: | Marija Bjelobrk, Slobodan Dodic, Tatjana Miljkovic, Golub Samardzija, Ilija Bjeljac, Dragana Dabovic, Biljana Dodic, Milenko Rosic, Mila Kovacevic, Aleksandar Redzek, Miklos Fabri |
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| Předmět: |
medicine.medical_specialty
Case Report 030204 cardiovascular system & hematology Anterior Descending Coronary Artery Asymptomatic Sudden cardiac death 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine Diseases of the circulatory (Cardiovascular) system 030212 general & internal medicine Myocardial infarction cardiovascular diseases Cardiac surgical procedures Coronary artery aneurysm business.industry Coronary aneurysm medicine.disease Atherosclerosis Prognosis Cardiac surgery Coronary arteries medicine.anatomical_structure RC666-701 Cardiology cardiovascular system medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Scopus-Elsevier Journal of Tehran University Heart Center, Vol 15, Iss 4 (2020) The Journal of Tehran University Heart Center |
| Popis: | The most common cause of coronary artery aneurysms is atherosclerosis, which is associated with over 50% of all aneurysms diagnosed in adults. Although patients can be asymptomatic throughout their lives, giant coronary artery aneurysms can manifest themselves as myocardial infarction, aneurysmal rupture, and sudden cardiac death as well. Herein, we describe an asymptomatic patient with numerous risk factors and a positive cardiopulmonary exercise test who was admitted to the cardiology clinic for coronary angiography. A giant coronary artery aneurysm (3.0×2.0 cm in diameter) in the left anterior descending coronary artery and significant stenosis in both left and right coronary arteries were found. After discussing possible treatment options, the hospital’s heart team recommended the surgical resection of the aneurysm and double coronary artery bypass graft. Four years after the cardiac surgery, at the time of writing the current manuscript, the patient is still in good condition and with no symptoms. |
| Databáze: | OpenAIRE |
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