Giant Coronary Artery Aneurysm Causing Acute Anterior Myocardial Infarction

A 70-year-old man with hypertension was admitted to our coronary ICU with acute anterior MI. Emergent primary PCI was planned and coronary angiography was performed. LAD artery was totally occluded in the proximal segment just after a huge 32 × 26 mm sized aneurysm. Emergent CABG operation was perfo...

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Bibliographic Details
Published in:Case Reports in Medicine 2016-01, Vol.2016 (2016), p.369-370
Main Authors: Yanık, Ahmet, Arslan, Uğur, Akçay, Murat, Menekşe, Serdar, Yazgan, Uğur Gökmen
Format: Article
Language:English
Subjects:
Aneurysms
Atherosclerosis
Cardiovascular disease
Care and treatment
Case Report
Case studies
Causes of
Cocaine
Complications and side effects
Coronary vessels
Diagnosis
Electrocardiography
Heart attack
Heart attacks
Hospitals
Medical imaging
Patients
Prognosis
Stents
Surgery
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Summary:A 70-year-old man with hypertension was admitted to our coronary ICU with acute anterior MI. Emergent primary PCI was planned and coronary angiography was performed. LAD artery was totally occluded in the proximal segment just after a huge 32 × 26 mm sized aneurysm. Emergent CABG operation was performed in 75 minutes because of multivessel disease including the RCA and left circumflex artery. Aneurysm was ligated and coronary bypass was performed using LIMA and saphenous grafts. The postoperative course of the patient was uneventful. He was discharged with medical therapy including ASA, clopidogrel, and atorvastatin. He was asymptomatic at his polyclinic visit in the first month.
ISSN:1687-9627
1687-9635
DOI:10.1155/2016/5180472