Dual Aneurysms of the Left Anterior Descending Coronary Artery Initially Detected by Echocardiography

Abstract

Echocardiographic detection of abnormalities occurring medially and distally in coronary arteries is uncommon and is not well recognized. Herein, we describe an 87-year-old woman with two distinct aneurysms involving a branch of the left anterior descending coronary artery (LAD), one of which communicated with the pulmonary artery (PA). Initially determined via transthoracic echocardiography (TTE), these findings were subsequently validated by coronary computed tomography angiography (CTA). We also present a review of the published studies of multiple coronary artery aneurysms (CAAs) exceeding 20 mm in diameter, focusing on the location, etiology, symptoms, and common ultrasonic characteristics of 30 cases. Echocardiography is a valuable, noninvasive technique for initial detection, monitoring, and follow-up of CAAs, serving to direct further diagnostics.

Coronary Artery–Left Ventricular Fistula with Giant Right Coronary Aneurysm: A Case Report and Literature Review

“…In addition, it could reveal the extraluminal components, such as thrombosis and aneurysm shape, which cannot be assessed by coronary angiography. Echocardiography and magnetic resonance imaging also have diagnostic value [Liu 2019].…”

Giant left anterior descending artery aneurysm

“…Surgical tactics include aneurysm ligation with distal bypass grafting, isolated coronary artery bypass grafting, aneurysm plication and saphenous vein patch repair of the aneurysm [4]. Surgical revascularization is the preferred approach for addressing giant coronary aneurysms [5]. Lastly, it is important to acknowledge that the treatment for each patient is individual and based on the location of the aneurysm and clinical context.…”