Arteriosclerotic aneurysms of the coronary arteries

Coronary aneurysms: A case report and review

“…These patients may well have suffered an arrhythmia or thrombosis versus rupture of the aneurysms. Anabtawi and Leon [22] state that saccular aneurysms are more likely to rupture, but it is not clear on what this belief is based. And Befeler reported no evidence for rupture in 16 patients followed from 1-4 years [6].…”

“…Emmerich et al [37] reported on a new surgical procedure that includes closing the ostium of the involved coronary during the bypass procedure to reduce the risk of embolization, though this had been described in one earlier case report [29]. A few authors have recommended prophylactic surgical repair for saccular aneurysms, felt to have a higher propensity for thrombosis or rupture [22,23]. Befeler's series found no evidence to support this assertion in their 16 patients who were followed from 1-4 years [ 6 ] .…”

Asymptomatic Calcified Thrombus in a Coronary Aneurysm

“…It is amazing that the patient survived this cardiac insult. The literature mentions very few cases (1–5). Dr. David Scherf (personal communication, 1976), in his experience of over half a century in cardiologic practice with countless necropsies, does not remember having seen a patient who survived a similar episode.…”

Hemodynamic Mechanism of Coronary Artery Aneurysm High Occurrence on Right Coronary Artery

“…The most common cause of CAA in adults is atherosclerosis, which destroys the elastic fibers in the middle layer of the blood vessel. Under the intravascular pressure, weak wall bulges outward and forms CAA (Anabtawi and De Leon, 1974;Demopoulos et al, 1997;Baman et al, 2004). Pan et al (2014) detected 697 coronary artery ectasia (CAE) patients.…”