Coronary artery aneurysm (CAA) is defined as a localized dilatation of a coronary artery that is larger than the diameter of the adjacent normal vessel by 1.5–2 times [1, 2]. Fusiform aneurysms, with the longitudinal diameter larger than the transversal one, are more common than saccular ones [3]. Most frequently, the right coronary artery (RCA) is involved (40.4%) [4, 5]. In rare cases, if the dilated segment is more than 20 mm in diameter, CAAs are called “giant CAA” (GCAA), which have been reported to have an incidence of 0.02% [6, 7]. The occurrence of multiple CAAs located in more than one coronary artery is even more uncommon [8]. The presence of aneurysmal dilation of coronary vessels may be defined as CAA or coronary artery ectasia (CAE); however, CAE indicates a more diffuse dilatation including 50% or more of the length of a coronary artery. The purpose of this manuscript is to discuss the currently available different therapeutic options of the CAAs and to report our experience with a clinical case of multiple CAAs with GCAA.
Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review / Pala, Barbara; Tocci, Giuliano; Bruno, Noemi; Barbato, Emanuele; Gabrielli, Domenico. - In: CLINICAL RESEARCH IN CARDIOLOGY. - ISSN 1861-0684. - 113:7(2024), pp. 1902-1908. [10.1007/s00392-024-02418-1]
Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review
Pala, Barbara;Tocci, Giuliano
;Barbato, Emanuele;
2024
Abstract
Coronary artery aneurysm (CAA) is defined as a localized dilatation of a coronary artery that is larger than the diameter of the adjacent normal vessel by 1.5–2 times [1, 2]. Fusiform aneurysms, with the longitudinal diameter larger than the transversal one, are more common than saccular ones [3]. Most frequently, the right coronary artery (RCA) is involved (40.4%) [4, 5]. In rare cases, if the dilated segment is more than 20 mm in diameter, CAAs are called “giant CAA” (GCAA), which have been reported to have an incidence of 0.02% [6, 7]. The occurrence of multiple CAAs located in more than one coronary artery is even more uncommon [8]. The presence of aneurysmal dilation of coronary vessels may be defined as CAA or coronary artery ectasia (CAE); however, CAE indicates a more diffuse dilatation including 50% or more of the length of a coronary artery. The purpose of this manuscript is to discuss the currently available different therapeutic options of the CAAs and to report our experience with a clinical case of multiple CAAs with GCAA.File | Dimensione | Formato | |
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Pala_Giant-coronary_2024.pdf
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