Giant coronary aneurysm culprit of an acute coronary syndrome | Zendy

Iván J. NúñezGil | Zendy; Pedro MarcosAlberca | Zendy; Nieves Gonzalo | Zendy; Luis NombelaFranco | Zendy; Pablo Salinas | Zendy; Antonio Fernández-Ortı́z | Zendy

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Giant coronary aneurysm culprit of an acute coronary syndrome

Author(s) -

Iván J. NúñezGil,

Pedro MarcosAlberca,

Nieves Gonzalo,

Luis NombelaFranco,

Pablo Salinas,

Antonio Fernández-Ortı́z

Publication year - 2018

Publication title -

revista portuguesa de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.266

H-Index - 26

eISSN - 2174-2030

pISSN - 0870-2551

DOI - 10.1016/j.repc.2016.11.017

Subject(s) - culprit , medicine , acute coronary syndrome , cardiology , aneurysm , radiology , myocardial infarction

A 66-year-old male ex-smoker with hypertension, type 2 diabetes mellitus and dyslipidaemia was admitted due to a non-ST segment elevation myocardial infarction. The catheterisation depicted an extensive and calcified disease: chronic total obstruction of the right coronary and severe disease with a giant aneurysm at the first marginal branch as the culprit vessel. After discussion, the right coronary was treated before the circumflex-giant aneurysm was closed with a stent graft and its multiple severe stenosis solved with two drug-eluting stents. We provide a multimodality approach for a complex case and briefly discuss the available options.

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