Abstract

Case Report

Spontaneous rupture of a giant Coronary Artery Aneurysm after acute Myocardial Infarction

Oğuzhan Çelik, Mucahit Yetim, Tolga Doğan, Lütfü Bekar, Macit Kalçık* and Yusuf Karavelioğlu

Published: 21 June, 2017 | Volume 2 - Issue 1 | Pages: 026-028

Coronary artery aneurysm is commonly defined as a localized dilatation exceeding the diameter of adjacent normal coronary segments by 50% [1]. Coronary artery aneurysms may be fusiform, involving the full circumference of the coronary artery, or saccular, involving only a portion of the circumference [2]. Causes of coronary artery aneurysms include atherosclerosis (accounting for 50% of cases), Kawasaki disease, polyarteritis nodosa, infection, trauma, coronary dissection, percutaneous coronary angioplasty, and congenital malformations [3]. The abnormal blood flow within the coronary artery aneurysm may lead to thrombus formation, embolization, rupture, myocardial ischemia or myocardial infarction [4]. Here we present a case of a giant fusiform coronary artery aneurysm who passed away due to coronary rupture after acute myocardial infarction.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001009 Cite this Article Read Full Article PDF

Keywords:

Coronary artery; Aneurysm; Thrombus; Pericardial effusion; Thrombolysis

References

  1. Pahlavan PS, Niroomand F. Coronary artery aneurysm: a review. Clin Cardiol. 2006; 29: 439-443. Ref.: https://goo.gl/Fw81GM
  2. Al-Khadra AH. A right coronary artery aneurysm associated with chest pain: a case report. J Family Community Med. 2009; 16: 75-76. Ref.: https://goo.gl/XaSpcs
  3. Nichols L, Lagana S, Parwani A. Coronary Artery Aneurysm A Review and Hypothesis Regarding Etiology. Arch Pathol Lab Med. 2008; 132: 823-828. Ref.: https://goo.gl/RERdNT
  4. Li Y, Wu C, Liu W. Coronary artery ectasia presenting with thrombus embolization and acute myocardial infarction: A case report. Medicine (Baltimore). 2017; 96: 5976. Ref.: https://goo.gl/QMLtES

Figures:

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