Beyond the STEMI; Unmasking A Coronary Artery Aneurysm
Abstract
Coronary artery aneurysms (CAAs) are relatively rare defects that range significantly in clinical presentation, most often discovered in adults with concomitant coronary artery disease. There remains no general consensus on the optimal management of CAAs. A vast majority of cases reported in literature are managed operatively or with percutaneous stenting. We however demonstrate a case of a CAA discovered upon angiography for a STEMI managed entirely with intracoronary thrombolytics and intravenous heparin, followed by a repeat coronary angiography that confirmed re-opening of the occluded vessel now with distal coronary blood flow.
1. Matta AG, Yaacoub N, Nader V, Moussallem N, Carrie D, Roncalli J. Coronary artery aneurysm: A review. World J Cardiol. 2021 Sep 26;13(9):446-455. doi: 10.4330/wjc.v13.i9.446. PMID: 34621489; PMCID: PMC8462041. 1. Kawsara, A, Núñez Gil, I, Alqahtani, F. et al. Management of Coronary Artery Aneurysms. J Am Coll Cardiol Intv. 2018 Jul, 11(13) 1211–1223. https://doi.org/10.1016/j. jcin.2018.02.041 2. Kacila M, Matteucci ML, Bevilacqua S, Granov N, Glauber M. Treatment of left anterior descending artery aneurysm. Bosn J Basic Med Sci. 2006 Nov;6(4):22-4. doi: 10.17305/ bjbms.2006.3113. PMID: 17177643; PMCID: PMC5807962. 3. Sheikh AS, Hailan A, Kinnaird T, Choudhury A, Smith D. Coronary Artery Aneurysm: Evaluation, Prognosis, and Proposed Treatment Strategies. Heart Views. 2019 Jul-Sep;20(3):101-108. doi: 10.4103/HEARTVIEWS. HEARTVIEWS_1_19. PMID:…
Read the paper
Related studies
- In silico strategies for modeling RNA aptamers and predicting binding sites of their molecular targets
- Folic acid-hydrophilic polymer coated mesoporous silica nanoparticles target doxorubicin delivery
- Anti-phytopathogenic and plant growth promoting potential of endophytic fungi isolated from Dysoxylum gotadhora
- Mercury toxicity causes iron and sulfur deficiencies along with oxidative injuries in alfalfa (Medicago sativa)
- Suppression of lncRNA GAS6-AS2 alleviates sepsis-related acute kidney injury through regulating the miR-136-5p/OXSR1 axis in vitro and in vivo
- Assessing the Protective Effect of Moringa oleifera Extract against Bone Metastasis: An In Vitro Simulated Digestion Approach
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.