Key result
Atherosclerotic multi-vessel giant coronary artery aneurysms present rarely in an elderly female.
Why the study?
Giant coronary artery aneurysms involving multiple vessels or the left main artery are extremely rare and their management varies based on severity.
Case Report (n=1)
Highlights a rare presentation of multi-vessel giant coronary artery aneurysm in an elderly female patient.
Rare giant aneurysms merit consideration in elderly females; case report leaves open sex-specific epidemiology and management.
Coronary artery aneurysm (CAA) is a rare anomaly. The right coronary artery is the most commonly affected, followed by the left circumflex (LCX), or the left anterior descending artery (LAD). Three-vessel disease or left main (LM) involvement is extremely rare. A giant coronary artery aneurysm (GCAA) has an extremely low incidence and refers to an aneurysm that is 20 mm or greater in size. Most CAAs occur as a consequence of atherosclerosis. Most patients with CAA are males, have three-vessel disease, and a history of myocardial infarction (MI). Thrombosis within the aneurysm can lead to distal embolization and MI. Depending on the severity of coronary stenosis, management of patients with LM CAAs is either surgical or medical.
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Khouzam et al. (2017) conducted a case report in Multi-vessel giant coronary artery aneurysm (n=1). A rare case of multi-vessel giant coronary artery aneurysm was reported in an elderly female, a condition that typically affects males and occurs as a consequence of atherosclerosis.
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