Patient with giant aneurism of the left coronary artery: a case report
https://doi.org/10.24835/1607-0763-1112
Abstract
Background. Giant coronary artery aneurysms are extremely rare findings. According to foreign authors, their prevalence as a result of autopsy ranged from 0.02 to 0.2%. Most often, they do not have specific symptoms and are detected after the development of complications, such as acute coronary syndrome, myocardial infarction. The risk of sudden complications causes an unfavorable prognosis of the disease and requires immediate surgical correction.
Aim: to demonstrate the effectiveness of radiology methods in assessing coronary anatomy and the possibility of visualization before planning surgery.
Materials and methods. The patient was referred to the Federal State Budgetary Institution “FCCVS” of the Ministry of Health of Russia (Penza) for additional examination and surgical treatment. Before surgery, to clarify the features of the macromorphology of the aneurysm, selective coronary angiography and CT coronary angiography were performed.
Results. Before surgery, according to CT coronary angiography, a partially thrombosed fusiform aneurysm was detected in the anterior descending artery with a maximum size of 7.0 x 3.5 cm, adjacent to the pulmonary artery trunk and left atrial appendage.
Conclusion. In modern conditions, the methods of radiology are successfully used to clarify the localization of aneurysms and individual topographic and anatomical features of the coronary arteries.
About the Authors
V. V. Bazylev
Federal Centre for Cardiovascular Surgery
Vladlen V. Bazylev – Doct. of Sci. (Med.), Chief doctor
6, Stasova str., Penza 440071
D. V. Kokshin
Federal Centre for Cardiovascular Surgery
Russian Federation
Russian Federation
Denis V. Kokshin – radiologist of radiology department
6, Stasova str., Penza 440071
T. I. Paramonova
Federal Centre for Cardiovascular Surgery
Tatyana I. Paramonova – Cand. of Sci. (Med.), radiologist, Head of radiology department
6, Stasova str., Penza 440071
M. G. Shmatkov
Federal Centre for Cardiovascular Surgery
Mark G. Shmatkov – Cand. of Sci. (Med.), endovascular surgeon, Head of department
6, Stasova str., Penza 440071
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For citations:
Bazylev V.V., Kokshin D.V., Paramonova T.I., Shmatkov M.G. Patient with giant aneurism of the left coronary artery: a case report. Medical Visualization. 2022;26(3):57-64. (In Russ.) https://doi.org/10.24835/1607-0763-1112
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