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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 2001 February;42(1):65-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

A coronary aneurysm complicated by acute myocardial infarction. A case report

Erdöl C., Celik S¸., Baykan M., Gökçe M., Karahan B., Bayram A.

From the Department of Cardiology Faculty of Medicine Karadeniz Technical University Trabzon, Turkey


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Coronary ­artery aneu­rysm (CAA) is a rel­a­tive­ly ­rare dis­ease ­that may ­cause angi­na, myo­car­dial infarc­tion, sud­den ­death due to throm­bo­sis, embol­isa­tion, or rup­ture. This ­report ­describes the ­case of a man ­aged 65 ­years old who had an ante­ri­or myo­car­dial infarc­tion due to ­left ante­ri­or descend­ing ­artery (LAD) aneu­rysm. We attempt­ed ear­ly per­cut­ane­ous trans­lu­mi­nal cor­o­nary angio­plas­ty (­PTCA) for treat­ment of ­acute myo­car­dial infarc­tion, but ­were not suc­cess­ful. He was ­then treat­ed ­with intra­cor­o­nary strep­tok­i­nase. Serial cor­o­nary angio­gra­phies ­showed rec­a­nal­isa­tion and aneu­rysm on the LAD. The ­patient was oper­at­ed on ­with cor­o­nary ­bypass sur­gery, and treat­ed ­with an ­oral anti­co­ag­u­lant, ­nitrate, and block­er. He was ­well ­after one ­year of fol­low-up.

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