A rare case of diffuse ectasia in the coronary arteries and proximal aneurysm in the left anterior descending artery: A case report.

Coronary artery aneurysm is defined as dilatation of a segment of coronary artery, greater than 1.5 times the diameter of the largest normal coronary artery of the patient. Major cause of coronary artery aneurysm is coronary artery disease. Coronary artery aneurysm maybe an incidental finding during coronary angiography or it may present with symptoms including chest pain, myocardial infarction or even death. We present a rare case of a 59-year-old gentleman, who had, previously, underwent multiple left heart catheterizations and percutaneous coronary interventions. He presented to us with symptomatic diffuse ectasia of the coronary arteries with proximal aneurysm in the Left Anterior Descending Artery. Coronary artery aneurysms are very rare with an incidence of about 0.02 %-0.04 % and a prevalence of 0.3 %-12 %. Right Coronary Artery is the principal site coronary artery aneurysms with a predominance of 83.8 %. The occurrence of multiple aneurysms is a very rare finding. About 73 % patients present with single aneurysms while only 27 % present with multiple aneurysms. Coronary artery aneurysms predispose to various complications including compression of the chambers, thrombosis and rupture. From the presented case it can be concluded that even though, conservative management is available, surgical repair is the gold standard treatment, especially in the presence of multiple, symptomatic and large aneurysms in order to avoid fatal ischemic complications.

Sohail AA ，Wahab R ，Rehman HU ，Fatimi A ，Fatimi SH ... -  《International Journal of Surgery Case Reports》

Giant coronary artery aneurysms involving more than one coronary artery: case report.

Khouzam MS ，Khouzam N 《Journal of Cardiothoracic Surgery》

Endovascular repair of abdominal aortic aneurysm: an evidence-based analysis.

Medical Advisory Secretariat 《-》

Bifurcating aneurysm of the left main coronary artery involving left anterior descending and left circumflex arteries--a case report.

Rahmatullah SI ，Khan IA ，Nair VM ，Vasavada BC ，Sacchi TJ ... -  《ANGIOLOGY》

Intravascular Ultrasound-Guided Management of Proximal Left Anterior Descending Artery Aneurysm With Covered Stent - A Case Report.

Singh G ，Khemani H ，Singla R ，Shaikh S ，Patil V ，Bansal NO ... -  《-》