Giant Noninflammatory and Nonatherosclerotic Coronary Arterial Aneurysm in the Left Main Trunk Assessed by Intravascular Ultrasound Imaging

Abstract

A case of a giant noninflammatory and nonatherosclerotic coronary arterial aneurysm in the left main trunk of a 69-year-old female is reported. Preoperative intravascular ultrasound (IVUS) images were helpful for visualizing the morphologic and histologic features of the coronary aneurysm. They were also useful for determining the etiologic background and surgical procedure.

An Asymptomatic Giant Right Coronary Artery Aneurysm Mimicking a Mass of the Right Atrium

“…Imaging methods for CAA detection are coronary angiography, magnetic resonance imaging, computed tomography, echocardiography, 5 and intravascular 6 and intracardiac sonography.…”

Coil embolization of a circumflex coronary aneurysm at the time of percutaneous coronary stenting

“…Coronary artery aneurysm (CAA), defined as a localized dilatation of the coronary artery with a diameter ≥ 1.5 times that of an adjacent coronary segment, has been observed in 0.2 to 4.9% of patients undergoing coronary angiography [1–9]. CAA most often involves the right coronary artery followed in frequency by the left anterior descending [10–14]. Most CAA are atherosclerotic in origin, although other etiologies include congenital aneurysms, Kawasaki syndrome, infectious arteritis, and coronary trauma, including that related to percutaneous coronary intervention [1].…”