Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock

Ann Thorac Surg. 2016 Apr;101(4):e95-7. doi: 10.1016/j.athoracsur.2015.06.104.

Abstract

Giant coronary aneurysms are rare. We present a 25-year-old woman with a known history of non-Kawasaki/nonatherosclerotic bilateral coronary aneurysms. She was transferred to our facility with acute coronary syndrome complicated by cardiogenic shock. Angiography demonstrated giant bilateral coronary aneurysms and complete occlusion of the left anterior descending (LAD) artery. Emergent coronary artery bypass grafting was performed. Coronary artery bypass grafting is the preferred approach for addressing giant coronary aneurysms. Intervention on the aneurysm varies in the literature. Aggressive revascularization is recommended in the non-Kawasaki/nonatherosclerotic aneurysm patient, and ligation should be performed in patients with thromboembolic phenomena.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / diagnosis
  • Acute Coronary Syndrome / etiology*
  • Acute Coronary Syndrome / surgery
  • Adult
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / surgery
  • Coronary Angiography
  • Coronary Artery Bypass / methods
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / surgery
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Humans
  • Ligation
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / etiology*
  • Tomography, X-Ray Computed