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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2016 July-August;175(7-8):334-5

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Minimally invasive management of an unusual cause of unstable angina, a large left circumflex artery saccular aneurysm: a case report

Robby R. SINGH 1, Harshinder SINGH 2

1 Department of Internal Medicine, Wayne State University, Detroit Medical Center, Detroit, MI, USA; 2 Department of Cardiology, Florida Hospital, Tampa, FL, USA


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Coronary artery aneurysms represent anomalies identified in 0.1 to 4.9% of patients undergoing coronary angiograms. Atherosclerosis is the main cause of coronary artery aneurysms and patients have an increased risk for thrombosis and distal embolization, eventually becoming a potential cause for myocardial infarction. We present 64 year old female who presented with left sided exertional chest pain, fatigue and associated lightheadedness. CT Angiogram of coronary arteries showed 30% stenosis in mid LAD, 8mm saccular aneurysm in a large sized left circumflex artery with suspicion of 3-4mm saccular aneurysm within proximal obtuse margin branch. 8mm aneurysm was successfully sealed with 4X16 mm covered JOMED stent without any residual aneurysm, endoleak or dissection; with TIMI 3 flow and 0% residual stenosis. On one year follow-up, patient was free of angina.

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