PMID: 16618029Apr 19, 2006Paper

Large coronary aneurysm diagnosed during an acute coronary syndrome. A case report and review of the literature

Archives des maladies du coeur et des vaisseaux
R CohenC Spaulding

Abstract

Coronary aneurysm is an uncommon variant of coronary atherosclerosis. It usually involves the right coronary artery and is often associated with significant coronary stenosis. It may be revealed by an acute coronary syndrome (ACS). We report the case of a 49 year-old woman in whom a large coronary aneurysm of the left anterior descending artery was revealed by an ACS. Coronary angiography remains the gold standard diagnosis procedure, but spiral computed tomography may be of interest to specify the location and nature of the aneurysm, and thus guide surgical or percutaneous treatment.

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