Open AccessManagement of Coronary Artery Aneurysm – Report of two cases
Author(s) -
Kartik Jadhav,
Krishnaprabhu Raju,
Ramesh Reddy,
Kandi Sridhar,
Sweta Ramani,
Sudhir Shankar Mane
Publication year - 2020
Language(s) - English
DOI - 10.5083/ejcm20424884.174
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , cardiology , presentation (obstetrics) , acute coronary syndrome , aneurysm , artery , incidence (geometry) , complication , revascularization , coronary artery disease , surgery , myocardial infarction , physics , optics
Coronary artery aneurysm (CAA) is described as a localized dilatation of a coronary artery segment by more than 1.5-fold compared with the adjacent normal segments. The incidence of CAA varies from 0.3 to 5.3% with atherosclerosis, Takayasu arteritis, congenital disorders, Kawasaki disease, and percutaneous coronary intervention (PCI) being the common etiologic factors. Owing to its varying presentation and absence of robust treatment guidelines, management of CAA is a challenge. Management of every patient must be tailored according to the presentation and expertise of the cardiac team available. Here, we present case reports of two patients with CAA who presented with acute coronary syndrome. As a result of unstable presentation, both patients underwent immediate intervention (CABG and PCI respectively) with successful revascularization having no complication and mortality.