Conservatively treated incidental aneurysm of the distal left main coronary artery: detection by coronary angiography and noninvasive followup using coronary computed tomography angiography.

Nina P Hofmann,Grigorios Korosoglou,Stefan Siebert,Hassan Abdel-Aty,Hugo A Katus

doi:10.1155/2012/547318

Nina P Hofmann, Grigorios Korosoglou + Show 3 more

Open Access

https://doi.org/10.1155/2012/547318

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Journal: Case reports in cardiology	Publication Date: Jan 1, 2012
Citations: 12	License type: CC BY 3.0

Affiliation: Heidelberg University

Abstract

Coronary artery aneurysms are relatively rare and commonly associated with significant coronary artery disease (CAD), inflammatory diseases (Kawasaki syndrome, infection), or iatrogenic complications. Herein, we report an unusual case of an incidental coronary aneurysm of the left main artery in a patient without specific clinical symptoms of myocardial ischemia or systemic inflammation and without angiographically significant CAD. Angiographic images are provided, acquired during cardiac catheterization, as well as coronary computed tomography angiography (CCTA) images obtained at 1 year of followup.

Highlights

Coronary artery aneurysms are relatively rare and commonly associated with significant coronary artery disease (CAD), inflammatory diseases (Kawasaki syndrome, infection), or iatrogenic complications
Angiographic images are provided, acquired during cardiac catheterization, as well as coronary computed tomography angiography (CCTA) images obtained at 1 year of followup
Due to lack of symptoms a conservative treatment regime was decided for the coronary aneurysm and the patient was discharged medications including aspirin (100 mg/d), bisoprolol (5 mg/d), ramipril (7.5 mg/d) and pravastatin (20 mg/d) for treatment of mild coronary artery disease, arterial hypertension and dyslipidemia

Summary

Introduction

Coronary artery aneurysms are relatively rare and commonly associated with significant coronary artery disease (CAD), inflammatory diseases (Kawasaki syndrome, infection), or iatrogenic complications. We report an unusual case of an incidental coronary aneurysm of the left main artery in a patient without specific clinical symptoms of myocardial ischemia or systemic inflammation and without angiographically significant CAD. Angiographic images are provided, acquired during cardiac catheterization, as well as coronary computed tomography angiography (CCTA) images obtained at 1 year of followup.

Results

Conclusion