Key result
Giant coronary artery aneurysms have up to ~0.2% prevalence and generally require surgical correction.
Why the study?
Giant coronary artery aneurysms are rare and their clinical presentation, complications, and optimal management require comprehensive review and update.
Giant coronary artery aneurysms are rare but potentially fatal, and surgical correction is generally accepted as the preferred treatment.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to rarity and surgical needs of giant coronary aneurysms; leaves open optimal management strategies in prospective data.
Giant coronary artery aneurysms are rare, with a reported prevalence of 0.02% to 0.2%. Causative factors include atherosclerosis, Takayasu arteritis, congenital disorders, Kawasaki disease, and percutaneous coronary intervention. Most giant coronary artery aneurysms are asymptomatic, but some patients present with angina pectoris, sudden death, fistula formation, pericardial tamponade, compression of surrounding structures, or congestive heart failure. Clinical sequelae include thrombus formation, embolization, fistula formation, and rupture. Surgical correction is generally accepted as the preferred treatment for giant coronary artery aneurysms. We present an illustrative case of a giant 70 × 40-mm coronary artery aneurysm in a 56-year-old man who declined surgery and died one month later. In addition, we provide a review of the medical literature on giant coronary artery aneurysms.
No takes yet. Share an insight, caveat, or question.
Crawley et al. (2014) conducted a review in Giant coronary artery aneurysms (n=1). Giant coronary artery aneurysms have a reported prevalence of 0.02% to 0.2% and are generally treated with surgical correction to prevent fatal sequelae.
Synapse has enriched 10 related papers. Consider them for comparative context: