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Giant coronary artery aneurysms: review and update.

Authors
  • Crawley, Patricia D
  • Mahlow, William Jeremy
  • Huntsinger, D Russell
  • Afiniwala, Swara
  • Wortham, Dale C
Type
Published Article
Journal
Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Publication Date
Dec 01, 2014
Volume
41
Issue
6
Pages
603–608
Identifiers
DOI: 10.14503/THIJ-13-3896
PMID: 25593524
Source
Medline
Keywords
License
Unknown

Abstract

Giant coronary artery aneurysms are rare, with a reported prevalence of 0.02% to 0.2%. Causative factors include atherosclerosis, Takayasu arteritis, congenital disorders, Kawasaki disease, and percutaneous coronary intervention. Most giant coronary artery aneurysms are asymptomatic, but some patients present with angina pectoris, sudden death, fistula formation, pericardial tamponade, compression of surrounding structures, or congestive heart failure. Clinical sequelae include thrombus formation, embolization, fistula formation, and rupture. Surgical correction is generally accepted as the preferred treatment for giant coronary artery aneurysms. We present an illustrative case of a giant 70 × 40-mm coronary artery aneurysm in a 56-year-old man who declined surgery and died one month later. In addition, we provide a review of the medical literature on giant coronary artery aneurysms.

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