Aneurisma gigante de arteria coronaria derecha trombosado

  1. Hernández Jiménez, Sergio 1
  2. Urmeneta Ulloa, Javier 1
  3. Cicero, Perla 2
  4. Cabrera Rodríguez, José Ángel 1
  1. 1 Servicio de cardiología. Hospital Universitario Quironsalud Madrid, Madrid. España
  2. 2 Departamento de Anestesia. Ospedale San Raffaele, Milán. Italia
Journal:
Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC)

ISSN: 2529-976X

Year of publication: 2023

Issue Title: Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Volume: 6

Issue: 1

Pages: 55-57

Type: Article

DOI: 10.37615/RETIC.V6N1A12 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC)

Abstract

Giant coronary aneurysms are an extremely rare entity (affecting approximately 0.02% of the general population). Although the most frequent cause is atherosclerosis, their aetiology is quite diverse (including vasculitis, and connective tissue diseases). Clinically are frequently asymptomatic, being diagnosed as an incidental finding while studying other conditions. However, in uncommon cases, they can also pose serious risk, presenting as an acute coronary syndrome, as a pericardial tamponade, or even as a sudden death. Due to the lack of evidence, their management is still controversial, and is crucial to individualise the treatment to patient and aneurysm characteristics.

Bibliographic References

  • Swaye PS, Fisher LD, Litwin P, Viggnola PA, Judkins MP, Kemp HG, et al. Aneurysmal coronary artery disease. Circulation 1983; 67:134-8. doi: https://doi.org/10.1161/01.cir.67.1.134 DOI: https://doi.org/10.1161/01.CIR.67.1.134
  • Gottesfeld S, Makaryus AN, Singh B, Kaplan B, Stephen B, Steinberg B, et al. Thrombosed right coronary artery aneurysm presenting as a myocardial mass. J Am Soc Echocardiogr. 2004;17(12):1319 –22. doi: https://doi.org/10.1016/j.echo.2004.07.004
  • Pereira E, Melica B, Primo J, Mota JC, Ferreira N, PM G, et al. Diffuse aneurysmal and obstructive coronary artery disease: a do-not-intervene patient. Rev Port Cardiol. 2013;32(7 –8):629 –32. 3. doi: https://doi.org/10.1016/j.repc.2012.11.009 DOI: https://doi.org/10.1016/j.repc.2012.11.009
  • Robertson T, Fisher L. Prognostic significance of coronary artery aneurysm and ectasia in the coronary artery surgery study (CASS) registry. In: Shulman ST, editor. Kawasaki disease: proceedings of the second international Kawasaki symposium. New York: AR Liss; 1987. p. 324-39.
  • Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis.1997;40(1):77 –84. doi: https://doi.org/10.4330/wjc.v13.i9.446 DOI: https://doi.org/10.1016/S0033-0620(97)80024-2
  • Li D, Wu Q, Sun L, Song Y, Wang W, Pan S, Luo G, Liu Y, Qi Z, Tao T, Sun JZ, Hu S. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg. 2005 Sep;130(3):817-21. doi: https://doi.org/10.1016/j.jtcvs.2005.04.004 DOI: https://doi.org/10.1016/j.jtcvs.2005.04.004
  • Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S, Wortham DC. Giant coronary artery aneurysms: review and update. Tex Heart Inst J. 2014 Dec 1;41(6):603-8. doi: https://doi.org/10.14503/THIJ-13-3896 DOI: https://doi.org/10.14503/THIJ-13-3896
  • Gottesfeld S, Makaryus AN, Singh B, Kaplan B, Stephen B, Steinberg B, Graver LM, Rosen SE. Thrombosed right coronary artery aneurysm presenting as a myocardial mass. J Am Soc Echocardiogr. 2004 Dec;17(12):1319-22. doi: https://doi.org/10.1016/j.echo.2004.07.004 DOI: https://doi.org/10.1016/j.echo.2004.07.004
  • Teng P, Ni C, Sun Q, Ni Y. Giant right coronary artery aneurysm mimicking a right intra-ventricular mass: a case report. J Cardiothorac Surg. 2020 Jan 13;15(1): 17. doi: https://doi.org/10.1186/s13019-020-1054-0 DOI: https://doi.org/10.1186/s13019-020-1054-0
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