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

Autor: Vijay Chander Vinod, Zuhair Eltayeb Yousif, Najat Omer Salim, Talib Majwal
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Cardiology, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6404
2090-6412
DOI: 10.1155/2020/8833917
Popis: 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.
Databáze: Directory of Open Access Journals
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