Left main coronary artery aneurysm in young patient with acute myocardial infarction
Articles > Article · 2009
Authors: Emin Alioglu, Ugur O. Turk, Çağatay ENGİN, Istemihan Tengiz, Nurullah Tuzun, Hakan POSACIOĞLU
JOURNAL OF CARDIOVASCULAR MEDICINE, Journal Indexed in SCI Expanded, International, 2009, vol 10, pp 494-496
DOI: 10.2459/jcm.0b013e3283293349
Summary
Aneurysms of the left main coronary artery (LMCAA) are extremely uncommon, with an incidence of 0.1%. The main etiologic factor is atherosclerosis. Other causes include connective tissue disorders, trauma, vasculitis, congenital, mycotic, and idiopathic. These dilated sections of coronary artery are not benign pathology because they are subject to spasm, thrombosis, and subsequent distal embolism, spontaneous dissection and rupture. Treatment options include anticoagulation, custom-made covered stents, reconstruction, resection and exclusion with bypass. Our report on a young case illustrates the potential complication of LMCAA and presents its management.