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A Journal on Heart and Vascular Diseases

Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2006 February;54(1):169-72

language: English

Giant coronary artery aneurysm in association with systemic arterial ectasia. A case report

Anania A., Trapani M., Striglia E., Sambuco A., Longato L., Tarocco R. P.

Department of Internal Medicine Molinette Hospital, University of Turin, Turin, Italy


Since the advent of coronary angiography, coronary artery aneurysm has been diagnosed with increased frequency. The aetiology of coronary artery aneurysm is atherosclerosis in 50%, followed by other causes. In a 71-year-old man with previously documented abdominal aortic aneurysm of 6 cm diameter and ectasia of both left and right middle cerebral arteries, thoracic magnetic resonance imaging (MRI) demonstrated a large hollow paracardiac mass (maximum diameter of 7 cm) lying in the anterior-lateral part of the atrio-ventricular sulcus. Coronary arteriography confirmed the aneurysmatic nature of the proximal tract of left anterior descending (LAD) artery lesion. Screening for laboratory signs of vasculitis was negative and other vascular and systemic diseases were excluded, suggesting an atherosclerotic aetiology of the aneurysm. In the absence of current cardiac symptoms, conservative management has been chosen and the patient is still well 2 years after presentation.

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