Giant coronary aneurysm culprit of an acute coronary syndrome.

Authors :: Núñez-Gil IJ
Alberca PM
Gonzalo N
Nombela-Franco L
Salinas P
Fernández-Ortiz A
Source :: Revista portuguesa de cardiologia [Rev Port Cardiol (Engl Ed)] 2018 Feb; Vol. 37 (2), pp. 203.e1-203.e5. Date of Electronic Publication: 2018 Jan 06.
Publication Year :: 2018
Abstract: A 66-year-old male ex-smoker with hypertension, type 2 diabetes mellitus and dyslipidaemia was admitted due to a non-ST segment elevation myocardial infarction. The catheterisation depicted an extensive and calcified disease: chronic total obstruction of the right coronary and severe disease with a giant aneurysm at the first marginal branch as the culprit vessel. After discussion, the right coronary was treated before the circumflex-giant aneurysm was closed with a stent graft and its multiple severe stenosis solved with two drug-eluting stents. We provide a multimodality approach for a complex case and briefly discuss the available options.<br /> (Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)