Thrombosed left circumflex artery aneurysm presenting with myocardial infarction

Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):39-41. doi: 10.1177/0218492314534846. Epub 2014 May 12.

Abstract

Coronary artery aneurysms are life-threatening conditions that are quite uncommon in adults. They are observed in 1.1% to 4.9% of patients undergoing coronary angiography. They are usually located in the right coronary artery, may sometimes be thrombosed or rupture, and occasionally reach an enormous size leading to compressive symptoms. We report a case of thrombosed left circumflex artery aneurysm presenting with myocardial infarction. The thrombosed aneurysm, which could not be clearly demonstrated by coronary angiography, was definitively diagnosed by coronary computed tomography angiography. No operation was planned owing to total thrombosis of the aneurysm.

Keywords: Coronary aneurysm; coronary thrombosis; coronary vessels; myocardial infarction; tomography; x-ray computed.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / drug therapy
  • Coronary Angiography / methods
  • Coronary Thrombosis / diagnosis
  • Coronary Thrombosis / drug therapy
  • Coronary Thrombosis / etiology*
  • Female
  • Humans
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / drug therapy
  • Myocardial Infarction / etiology*
  • Platelet Aggregation Inhibitors / administration & dosage
  • Tomography, X-Ray Computed

Substances

  • Platelet Aggregation Inhibitors