Giant coronary aneurysms producing chest pain.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_B3A05606F45A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Giant coronary aneurysms producing chest pain.
Périodique
Journal of cardiothoracic surgery
Auteur(s)
Pfister R., Sadeghi Y., Orrit J., Prêtre R.
ISSN
1749-8090 (Electronic)
ISSN-L
1749-8090
Statut éditorial
Publié
Date de publication
08/03/2019
Peer-reviewed
Oui
Volume
14
Numéro
1
Pages
52
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Résumé
Coronary artery aneurysms (CAA) are defined as localized coronary artery dilations more than 1.5 times the diameter of the adjacent segments [1]. Giant coronary aneurysms (GCAA) are unusual and aneurysms on the left side are even rarer. Mechanisms are unclear, but seem predominated by atherosclerosis. Until now, management of giant coronary aneurysm is still unclear.
A 62-year-old man, presented a 4-month history of progressive chest pain aggravated by physical CAAs: 3 on the right coronary artery (RCA), including a giant one, and one on the intermediate branch. Intraoperatively, we found two proximal RCA CAAs of 2 cm each, a 6 cm distal RCA CAA partially thrombosed, and a 3 cm CAA on the intermediate branch. The two largest CAAs were resected and two saphenous graft bypasses were performed.
Treatment options include medical treatment (antiaggregation, anticoagulation), percutaneous coronary angioplasty and surgery. Results of observational or conservative management in the few cases of GCAA described in literature, appear to have poor results. Surgery is a good option with low operative risk, especially in giant coronary aneurysms.
Mots-clé
Angina Pectoris/etiology, Coronary Aneurysm/complications, Coronary Aneurysm/diagnostic imaging, Coronary Aneurysm/surgery, Coronary Angiography, Coronary Artery Bypass, Coronary Artery Disease/diagnostic imaging, Coronary Artery Disease/surgery, Humans, Male, Middle Aged, Coronary bypass, Coronary ectasia, Giant coronary aneurysm
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/03/2019 17:14
Dernière modification de la notice
20/08/2019 15:22
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