Giant Left Anterior Descending Coronary Artery Aneurysm in an Adult Male Patient With St Elevation Myocardial Infarction Publisher



Sadeghi MM¹ ; Jouzdani SR² Show Affiliations
Source: Journal of Surgical Case Reports Published:2016

Abstract

Coronary artery aneurysm is a rare clinical entity encountered incidentally 0.3-5% among patients who undergo coronary angiography. Even giant coronary artery aneurysm is much rarer with an incidence of 0.02% among all atherosclerotic cases. Due to rare occurrence and lack of controlled trials, clinical presentation, prognosis and management of giant coronary artery aneurysm are under controversies in the literature. We report a 43-year-old male patient admitted to our hospital with a typical chest pain associated with ST elevation changes in anterior chest leads and elevated cardiac enzymes. Coronary angiography of the patient revealed a large (1.5 cm × 3 cm) aneurysm of proximal left anterior descending coronary artery. We performed a successful surgical excision and coronary bypass surgery. The patient had an uncomplicated course. © 2016 Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved.