Giant coronary artery aneurysms.

Abstract

To the Editor: I appreciated the case report and literature review on giant coronary aneurysms by Crawley and colleagues.1 Their report details the various facets of this unusual condition and its management. In 2009, my colleagues and I reported our experience with a patient who had multiple giant coronary aneurysms.2 In Crawley and associates' patient, it is notable that the large aneurysm size was diagnosed on coronary angiography, which indicated a lack of aneurysmal sac “content.” In our patient, and similar to aneurysmal disease elsewhere in the body, the aneurysms' sacs contained large amounts of debris, and the true sizes of the aneurysms were found intraoperatively. Our patient underwent mitral valve repair 6 years later for severe mitral regurgitation and continues to do well. I thought that I would mention our earlier case, to augment Crawley and colleagues' nice review.