Dealing with Coronary Aneurysm

Author : L.P.C. Dewi, Y.H. Oktaviono
Upload Date : 19-04-2018

Coronary Artery Aneurysms (CAA) is a neglected topic in the pathology literature. It usually found incidentally during cardiac examinations, most of the reported cases have been diagnosed by coronary angiography, intravascular ultrasound and, on rare occasions, during autopsy. It has an estimated incidence of 1-5 % of all invasive coronary angiogram. Treatment of CAA consists of medical management, surgical resection, and stent placement. However, the appropriate treatment for CAA is controversial and depends on the particular clinical situation. It is still not known how best to handle such aneurysms. We present a 68 years old man who was referred for elective cardiac catheterization. Angiogram revealed CAA with concomitant coronary artery disease (Double Vessel Disease with Type III, fusiform CAA in the proximal of LAD). This patient successfully underwent Percutaneous Transluminal Coronary Angioplasty (PTCA) using Drug Eluting Stent across the stenotic lessions and Sirolimus eluting stent was deployed across the aneurysm. The patient did well post-procedure.

KEYWORDS : Coronary Artery Aneurysms, Left Anterior Descenden coronary artery, Management of Coronary Artery Aneurysm

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