Coronary Artery Aneurysms, Arteriovenous Malformations, and Spontaneous Dissections—A Review of the Evidence

Dimagli, Arnaldo; Malas, Jad; Chen, Sarah; Sandner, Sigrid; Schwann, Thomas; Tatoulis, James; Puskas, John; Bowdish, Michael E.; Gaudino, Mario

doi:10.1016/j.athoracsur.2023.11.033

Cited by 2 publications

(1 citation statement)

References 73 publications

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“…Nevertheless, exertional angina and positive exercise stress tests have been observed even in the absence of significant atherosclerosis and have been associated with flow disturbances within the aneurysm, formation of endoluminal thrombi with subsequent embolization, and microvascular dysfunction [19] . Less frequent symptoms are those resulting from compression of contiguous cardiac or extracardiac structures or from aneurysm rupture (into a low-pressure cavity or pericardium) [14,20,21] . However, spontaneous rupture is a rare occurrence [22] .…”

Section: Clinical Presentationmentioning

confidence: 99%

Diagnostic workup and treatment options for aneurysmal coronary artery disease

Barioli,

Visco,

Pellizzari

et al. 2024

Vessel Plus

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Coronary artery aneurysms and coronary ectasia are defined as focal or diffuse dilation of the coronary arteries, respectively. Although frequently silent and detected as incidental findings at coronary angiography or computed tomography, coronary aneurysms have been associated with different clinical conditions, including silent ischemia and acute coronary syndromes, and with poor clinical outcomes. The optimal management still remains unsettled, as randomized data are lacking and treatment with either surgical or percutaneous procedures faces significant challenges. This review aims to provide an update on the classification, etiopathogenesis, diagnostic workup, and treatment of aneurysmal coronary disease.

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Section: Clinical Presentationmentioning

confidence: 99%

Diagnostic workup and treatment options for aneurysmal coronary artery disease

Barioli,

Visco,

Pellizzari

et al. 2024

Vessel Plus

View full text Add to dashboard Cite

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Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

Mullis,

Alnasir,

Garrison

et al. 2024

IJCTS

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Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.

show abstract

Coronary Artery Aneurysms, Arteriovenous Malformations, and Spontaneous Dissections—A Review of the Evidence

Cited by 2 publications

References 73 publications

Diagnostic workup and treatment options for aneurysmal coronary artery disease

Diagnostic workup and treatment options for aneurysmal coronary artery disease

Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

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