Acute coronary artery thrombosis and a giant coronary artery aneurysm: An atypical combination and an unconventional catheter‐based intervention

Abstract

Coronary artery aneurysm is an unusual finding at coronary arteriography. We present a case of acute myocardial infarction and a giant aneurysm of the left circumflex coronary artery (CX) in a 70-year-old male with hypertension. The culprit lesion was a thrombus occupying the aneurysm and the distal CX. By an unconventional manoeuvre the thrombus was aspirated via the 7 French guiding catheter. After stent implantation in the distal CX a thrombolysis in myocardial infarction 3 flow was achieved and still present at 2-month follow-up. The patient was prescribed aspirin and clopidogrel as a life-long therapy.

Acute thrombosis of a coronary artery aneurysm: Toughing it out with the poor man's thrombectomy catheter technique

“…Although findings from the Coronary Artery Surgery Study suggest that the prognosis in cases secondary to atherosclerosis is that of the underlying obstructive disease [3], the case reported by Madsen et al in this issue [11] clearly indicates that a large saccular aneurysm is not necessarily benign and may confer an extra risk. In their patients, non‐ST‐elevation myocardial infarction, associated with hemodynamic compromise, prompted an urgent coronary angiography that showed almost total obliteration, due to fresh thrombus, of a giant saccular aneurysm involving the mid left circumflex coronary artery.…”