A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Andriy Solodkyy; Joseph Shalhoub; Govind Chetty; Norman P Briffa

doi:10.1016/j.ijscr.2012.03.023

A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Int J Surg Case Rep. 2012;3(7):311-3. doi: 10.1016/j.ijscr.2012.03.023. Epub 2012 Mar 29.

Authors

Andriy Solodkyy¹, Joseph Shalhoub, Govind Chetty, Norman P Briffa

Affiliation

¹ Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield, UK; Department of Vascular Surgery, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK.

Abstract

Introduction: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare.

Presentation of case: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair.

Discussion: Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance.

Conclusions: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.