Coronary syndrome acute as first manifestation of multiple aneurisms of coronary arteries: case report.
Keywords:
coronary disease, coronary aneurysm, acute coronary syndrome, coronary angiography, atherosclerosisAbstract
The study reports the case of a patient with multiple aneurysms and ectasias of the coronary arteries whose first manifestation was acute coronary syndrome. This is a 42-year-old male patient who was diagnosed with acute myocardial infarction without ST segment elevation. Cineangiocoronariography showed a three-vessel lesion with aneurysmatic and ectatic coronary dilations. Myocardial revascularization surgery was chosen, but he refused to undergo surgical treatment. He was discharged with optimized clinical treatment with outpatient follow-up. Months after diagnosis, the patient died and was being followed up in another service. Coronary artery aneurysm is a rare entity. The ideal management is still not well established, with doubts and disagreements about surgical and interventional treatment and when to indicate them.
Downloads
References
Usuku, H., Kojima, S., Kuyama, N., Hanatani, S., Araki, S., Tsujita, K., Tsunoda, R., Fukui, T., & Hokimoto, S. (2017). Multiple Giant Coronary Artery Aneurysms. Internal medicine (Tokyo, Japan), 56(15), 1973–1976. Avaible from: <https://doi.org/10.2169/internalmedicine.56.8357>.
Caffaro CFC et al.. Múltiplos aneurismas coronarianos em pacientes com síndrome coronariana aguda. Rev Bras Cardiol 2012; 25(5):406-409. Avaible from: <http://www.onlineijcs.org/english/sumario/25/pdf/v25n5a09.pdf>.
Shen J, Zhou Y, Fang Z, Hu J. Multiple giant coronary artery aneurysms combined with right coronary artery-pulmonary artery fistula: a case report. BMC Surg. 2019 Jul 5;19(1):80. doi: 10.1186/s12893-019-0547-z. PMID: 31277612; PMCID: PMC6612139. Avaible from: <https://pubmed.ncbi.nlm.nih.gov/31277612/> .
Howard, J. M., Viswanath, O., Armas, A., Santana, O., & Rosen, G. P. (2017). Interesting images: Multiple coronary artery aneurysms. Annals of cardiac anaesthesia, 20(3), 331–332. Avaible from:<https://doi.org/10.4103/aca.ACA_22_17>.
Sadeghi MM, Jouzdani SR. Giant left anterior descending coronary artery aneurysm in an adult male patient with ST elevation myocardial infarction. J Surg Case Rep. 2016 Mar 28; 2016 (3):rjw023. DOI: 10.1093/jscr/rjw023. PMID: 27021297; PMCID: PMC4809239. Avaible from: <https://pubmed.ncbi.nlm.nih.gov/27021297/>.
Jeudy J, White CS, Kligerman SJ, Killam JL, Burke AP, Sechrist JW, Shah AB, Hossain R, Frazier AA. Spectrum of Coronary Artery Aneurysms: From the Radiologic Pathology Archives. Radiographics. 2018 Jan-Feb;38(1):11-36. doi: 10.1148/rg.2018170175. PMID: 29320324. Avaible from: <https://pubmed.ncbi.nlm.nih.gov/29320324/>.
Abou Sherif S, Ozden Tok O, Taşköylü Ö, Goktekin O, Kilic ID. Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment. Front Cardiovasc Med. 2017 May 5;4:24. doi: 10.3389/fcvm.2017.00024. PMID: 28529940; PMCID: PMC5418231. Avaible from: < https://pubmed.ncbi.nlm.nih.gov/28529940/>.
Beckmann E, Rustum S, Marquardt S, Merz C, Shrestha M, Martens A, Haverich A, Ismail I. Surgical treatment of coronary artery aneurysms. J Card Surg. 2017 Nov;32(11):674-679. doi: 10.1111/jocs.13227. Epub 2017 Oct 13. PMID: 29027271. Avaible from: <https://pubmed.ncbi.nlm.nih.gov/29027271/>.
Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S, Wortham DC. Giant coronary artery aneurysms: review and update. Tex Heart Inst J. 2014 Dec 1;41(6):603-8. doi: 10.14503/THIJ-13-3896. PMID: 25593524; PMCID: PMC4251331. Avaible from: <https://pubmed.ncbi.nlm.nih.gov/25593524/>.
Downloads
Published
Issue
Section
License
Os artigos submetidos à revista Colloquium Vitae estão licenciados conforme CC BY-NC-ND. Para mais informações sobre essa forma de Licenciamento, consulte: http://creativecommons.org/licenses/by-nc-nd/4.0/.
A disponibilização é gratuita na Internet, para que os usuários possam ler, fazer download, copiar, distribuir, imprimir, pesquisar ou referenciar o texto integral dos documentos, processá-los para indexação, utilizá-los como dados de entrada de programas para softwares, ou usá-los para qualquer outro propósito legal, sem barreira financeira, legal ou técnica.