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A case of giant left main coronary artery aneurysm in an elderly man

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Abstract

Aneurysms of the left main coronary artery are rare and their optimal treatments remain unknown. A 64-year-old man without any symptoms was referred to our department for suspected coronary aneurysm. Transthoracic echocardiography demonstrated an aneurysm of the left main coronary artery. On transesophageal echocardiography, the thrombus was suspected inside and severe ostial stenosis of the left coronary artery was highly suspected due to the accelerated flow velocity. Multidetector computed tomography demonstrated the aneurysm as being 37 mm in diameter with significant stenosis at both left coronary arteries, more clearly than coronary angiography. Because of its size and coexisting coronary artery disease, surgical closure of the aneurysm and coronary artery bypasses were performed. Echocardiography and coronary computed tomography could help in the diagnosis and the therapeutic decision in the case of left main coronary artery aneurysm before coronary angiography.

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References

  1. Pahlavan PS, Niroomand F. Coronary artery aneurysm: a review. Clin Cardiol. 2006;29:439–43.

    Article  PubMed  Google Scholar 

  2. Ercan E, Tengiz I, Yakut N, et al. Large atherosclerotic left main coronary aneurysm: a case report and review of literature. Int J Cardiol. 2003;88:95–8.

    Article  PubMed  Google Scholar 

  3. Tomita H. Intravascular ultrasound and electron beam tomography of late developing coronary artery aneurysms after Kawasaki disease. Catheter Cardiovasc Interv. 1999;47:114–5.

    Article  PubMed  CAS  Google Scholar 

  4. Baman TS, Cole JH, Devireddy CM, et al. Risk factors and outcomes in patients with coronary artery aneurysms. Am J Cardiol. 2004;93:1549–51.

    Article  PubMed  Google Scholar 

  5. Anfinsen OG, Aaberge L, Geiran O, et al. Coronary artery aneurysms mimicking cardiac tumor. Eur J Echocardiogr. 2004;5:308–12.

    Article  PubMed  Google Scholar 

  6. Hartnell GG, Parnell BM, Pride RB. Coronary artery ectasia: its prevalence and clinical significance in 4993 patients. Br Heart J. 1985;54:392–5.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuo-ku, Fukuoka, 810-8563, Japan

    Kotaro Numaguchi, Hiroko Inoue, Etsuo Mori, Shinji Sato, Toshihiro Nakamura & Koji Hiyamuta

  2. Department of Cardiovascular Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan

    Hiromichi Sonoda & Yukihiro Tomita

  3. Department of Pathology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan

    Seiya Momosaki

Authors
  1. Kotaro Numaguchi
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  2. Hiroko Inoue
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  3. Hiromichi Sonoda
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  4. Yukihiro Tomita
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  5. Seiya Momosaki
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  6. Etsuo Mori
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  7. Shinji Sato
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  8. Toshihiro Nakamura
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  9. Koji Hiyamuta
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Corresponding author

Correspondence to Kotaro Numaguchi.

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Numaguchi, K., Inoue, H., Sonoda, H. et al. A case of giant left main coronary artery aneurysm in an elderly man. J Med Ultrasonics 40, 145–148 (2013). https://doi.org/10.1007/s10396-012-0406-3

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  • DOI: https://doi.org/10.1007/s10396-012-0406-3

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