| Autor: |
Abdullah M Alshehri |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Saudi Journal of Medicine and Medical Sciences, Vol 7, Iss 3, Pp 187-189 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1658-631X |
| DOI: |
10.4103/sjmms.sjmms_47_18 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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