Giant coronary aneurysms, from diagnosis to treatment: A literature review

Pham, Vincent; Hemptinne, Quentin de; Grinda, Jean-Michel; Duboc, Denis; Varenne, Olivier; Picard, Fabien

doi:10.1016/j.acvd.2019.10.008

Cited by 98 publications

(85 citation statements)

References 38 publications

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“…Though they have no singular accepted definition, they tend to be understood as coronary aneurysms greater than 20mm and occur most often in the right coronary artery (RCA). Up to 50% of cases are attributed to atherosclerosis, followed by congenital causes (17-30%), and sequelae of Kawasaki disease (10%) with other rare etiologies including vasculitides and connective tissue disorders (1). Due to the rare and heterogeneous presentation of coronary artery aneurysm, there are no uniform guidelines with respect to medical or interventional management (2).…”

Section: Introductionmentioning

confidence: 99%

Giant Coronary Artery Aneurysm Masquerading as an Anterior Mediastinal Mass

Deitz

Okusanya

Kilic

et al. 2020

Preprint

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Coronary artery aneurysms are exceedingly rare and tend to be found incidentally on angiography. We present the case of a 6cm giant coronary artery aneurysm discovered in a 25 year old man. Subsequent workup included cardiac gated MRI, CT angiography and left heart catheterization. Imaging revealed a 6.7 x 6.2 x 6.0 cm aneurysm involving the mid LAD subsequent to the takeoff of a large septal perforator. He was taken electively for operative repair during which the aneurysm was opened, unroofed and ligated at the ostium while taking care to ensuring normal flow in the septal perforator that supplied multiple small collaterals. In this unique case, a coronary artery aneurysm of considerable size was encountered in the LAD of a healthy young adult in which the size of the aneurysm precluded distal revascularization via bypass grafting. Multiple imaging modalities were used to characterize this finding and aid in surgical planning.

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Section: Introductionmentioning

confidence: 99%

Giant Coronary Artery Aneurysm Masquerading as an Anterior Mediastinal Mass

Deitz

Okusanya

Kilic

et al. 2020

Preprint

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“…Until now the natural history and treatment of giant CAAs remain unclear; even though there are no specific guidelines on a standardized procedure [24 , 25] , surgical repair is considered to be the right strategy when feasible.…”

Section: Discussion-conclusionmentioning

confidence: 99%

A rare case of a giant circumflex coronary artery aneurysm 10 years after bentall surgery

Chiocchi

Donna

Intorcia

et al. 2021

Radiology Case Reports

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In this paper, we describe a rare case of coronary artery aneurysms occasionally found on a pre interventional Coronary Computed Tomography Angiography performed on a 67-year-old man with a history of aneurysm of the ascending aorta previously treated with Bentall surgery, who arrived at our hospital to have a percutaneous valve-in-valve implantation procedure. Even though the patient was considered not eligible for the procedure, due to his many comorbidities, and conservatively managed, at 1-year followup his angiographic condition remained stable.

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“…Medical management, catheter closure, and surgical therapy have all been used. It is generally believed that the presence of symptoms is surgical indication 12 . Surgical procedures include aneurysm ligation, resection, coronary bypass arterial graft, etc, 13,14 Here the giant CAA caused mitral obstruction and the new‐born developed atrial tachycardia, new‐born therapy was performed following delivery.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of a right coronary artery to right atrial fistula with a giant coronary artery aneurysm: A case report

Cui

Liang

Fan

et al. 2020

J of Clinical Ultrasound

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Coronary artery fistula (CAF) is a rare cardiac anomaly. Here, we diagnosed a right coronary artery‐right atrium fistula with giant coronary artery aneurysm (CAA) via fetal echocardiography at 35 weeks' gestation. An urgent caesarean delivery was performed at 36 weeks' gestation because CAA caused mitral obstruction, and fetal atrial flutter was present. Following delivery, we performed aneurysm ligation because the new‐born developed atrial tachycardia. The intraoperative findings confirmed the sonographic findings. To the best of our knowledge, prenatal ultrasound diagnosis of CAF and giant CAA has not been reported in the literature. We focus on the ultrasonic characteristics and differential diagnosis in this literature.

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Giant coronary aneurysms, from diagnosis to treatment: A literature review

Cited by 98 publications

References 38 publications

Giant Coronary Artery Aneurysm Masquerading as an Anterior Mediastinal Mass

Giant Coronary Artery Aneurysm Masquerading as an Anterior Mediastinal Mass

A rare case of a giant circumflex coronary artery aneurysm 10 years after bentall surgery

Prenatal diagnosis of a right coronary artery to right atrial fistula with a giant coronary artery aneurysm: A case report

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