A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Abstract

Introduction: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare.

Presentation of case: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair.

Discussion: Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance.

Conclusions: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.

Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Figures

Fig. 1

(A) Invasive angiography showing the 8 cm infra-renal abdominal aortic aneurysm extending to the right internal iliac artery, with associated 6 cm right internal iliac artery aneurysm. (B) Coronary angiography showing the aneurysm in the proximal left anterior descending artery with an occluded right coronary artery. Axial computed tomography image (C) and intra-operative photograph (D) showing the 3 cm by 4 cm ‘giant’ right coronary artery aneurysm (arrows).