Left Main Coronary Artery Fusiform Aneurysm

Abstract

Aneurysm of the coronary artery is an uncommon condition that is usually found incidentally. The left coronary aneurysm is the least common. We report the case of a young patient with a history of vasculitis who was found to have a left fusiform coronary aneurysm. This is a 20-year-old female who has a history of polyarteritis nodosa and who came due to shortness of breath associated with chest discomfort. The physical exam was only relevant for multiple joint pains and tenderness. An echocardiogram showed a possible coronary aneurysm that was confirmed on the angio-tomography. The patient was discharged without complications. The left main coronary artery aneurysm is a rare condition and the least common of the coronary aneurysms. There is no established guideline for screening and therapy of these aneurysms, but invasive methods are not a preferred method for follow-up on this condition.

Left main coronary artery aneurysm: a rare case report

“…8 In addition, the use of statins is recommended due to their pleiotropic effects. 3 Similar to these recommendations, we discharged our patient with acetylsalicylic acid and atorvastatin, and we did not experience any complications during the follow-up. It is suggested that last-generation drug-eluting stents (DES) can be preferred as percutaneous treatment.…”

“…The presence of CAA is associated with poor long-term prognosis independent of coronary artery disease. 3 In our case, we present a successful CABG operation performed on a patient who presented with chest pain and was found to have an aneurysm in the LMCA and LAD in the CAG and with accompanying critical CAD.…”

“…In symptomatic patients, myocardial ischemia or infarction may develop or rupture. 3 Due to the lack of randomized controlled trials, there is no clear consensus on the treatment strategy. Surgical strategies such as resection, reconstruction, or coronary artery bypass graft (CABG) have been reported in addition to medical treatment and percutaneous interventions.…”