Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-30T17:16:21.654Z Has data issue: false hasContentIssue false

Left main coronary artery aneurysm: an uncommon aetiology for myocardial infarction in the young

Published online by Cambridge University Press:  23 July 2010

Naveen Garg*
Affiliation:
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
Nagaraja Moorthy
Affiliation:
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
*
Correspondence to: Dr N. Garg, MD, DM, FSCAI, FACC, Additional Professor, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India. Tel: +91 941 518 8040; Fax: +91 522 266 8078, 266 8017; E-mail: [email protected]

Abstract

Left main coronary artery aneurysms are very infrequent (0.1%) and the majority is related to atherosclerotic obstructive lesions. We describe a young male having no conventional coronary risk factors presenting with acute inferior wall myocardial infarction. Coronary angiography revealed a prominent aneurysm of the left main coronary artery with selective extension towards the proximal left circumflex artery without associated coronary lesions.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Wang, KY, Ting Ch, T, Sutton, MSJ, Cheng, YM. Coronary artery aneurysm: a 25-patient study. Cathet Cardiovasc Intervent 1999; 48: 3138.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
2. Syel, M, Lesch, M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997; 40: 7784.Google Scholar
3. Topaz, O, DiSciascio, G, Cowley, MJ, et al. Angiographic features of left main coronary artery aneurysms. Am J Cardiol 1991; 67: 11391142.Google Scholar
4. Rath, S, Har-Zahav, Y, Battler, A, et al. Case of nonobstructive aneurysmatic coronary artery disease. Angiographic and clinical follow-up report. Am Heart J 1985; 109: 785791.CrossRefGoogle ScholarPubMed
5. Iga, K, Fujikawa, T, Ueda, Y, Miki, S, Konishi, T. Massive hemopericardium as a first manifestation of coronary aneurysm: successful surgical management. Am Heart J 1996; 131: 618620.CrossRefGoogle ScholarPubMed
6. Von Rotz, F, Niederhauser, U, Straumann, E, Kurz, D, Bertel, O, Turina, MI. Myocardial infarction caused by a large coronary artery aneurysm. Ann Thorac Surg 2000; 69: 15681569.CrossRefGoogle ScholarPubMed
7. Moriyama, Y, Hisatomi, K, Shimokawa, S, Taira, A, Arima, S. Coronary artery aneurysm repaired with saphenous vein patch plasty. Ann Thorac Surg 1998; 65: 561562.Google Scholar
8. Lepojarvi, M, Salmela, E, Huikuri, H, Karkola, P. Repair of an aneurysm of the left main coronary artery. Ann Thorac Surg 1996; 61: 12471249.CrossRefGoogle ScholarPubMed
9. Leung, AW, Wong, P, Wu, CW, Tsui, PT, Mok, NS, Lau, ST. Left main coronary artery aneurysm: sealing by stent graft and long-term follow-up. Catheter Cardiovasc Interv 2000; 51: 205209.3.0.CO;2-5>CrossRefGoogle ScholarPubMed

Garg supplementary material

Video 1.avi

Download Garg supplementary material(Video)
Video 2.9 MB

Garg supplementary material

Video 2.avi

Download Garg supplementary material(Video)
Video 2.9 MB