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Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması

Year 2020, , 338 - 340, 30.09.2020
https://doi.org/10.18663/tjcl.699469

Abstract

Koroner arter anevrizmaları (CAA), bazı akut ve kronik komplikasyonlarla ilişkili nadir klinik tablolardır. Genellikle tesadüfen tespit edilir. Anevrizma içindeki durağanlık tromboz ve dolayısıyla akut koroner sendroma neden olabilir. Bu yazıda, kardiyak arrest nedeniyle acil servise getirilen ve elektrokardiyografisi (EKG) akut anterior miyokard infarktüsü ile uyumlu olan 37 yaşındaki bir kadın hastanın koroner anjiyografisinde gözlenen LMCA dev anevrizması sunulmaktadır.

Koroner arter anevrizmaları (CAA), bazı akut ve kronik komplikasyonlarla ilişkili nadir klinik tablolardır. Genellikle tesadüfen tespit edilir. Anevrizma içindeki durağanlık tromboz ve dolayısıyla akut koroner sendroma neden olabilir. Bu yazıda, kardiyak arrest nedeniyle acil servise getirilen ve elektrokardiyografisi (EKG) akut anterior miyokard infarktüsü ile uyumlu olan 37 yaşındaki bir kadın hastanın koroner anjiyografisinde gözlenen LMCA dev anevrizması sunulmaktadır.

References

  • 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997; 40: 77-84.
  • 2. Nichols L, Lagana S, Parwani A. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 2008; 132: 823-8.
  • 3. Hoşcan Y, Doğan A, Altinbaş A. A case of left main coronary artery aneurysm associated with severe stenosis of left anterior descending artery. [Article in Turkish] Anadolu Kardiyol Derg 2004; 4: 274.
  • 4. Krüger D, Stierle U, Herrmann G, Simon R, Sheikhzadeh A. Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (“dilated coronopathy”). J Am Coll Cardiol 1999; 34: 1461-70.
  • 5. Suzuki H, Fujigaki Y, Mori M et al. Giant coronary aneurysm in a patient with systemic lupus erythematosus. Intern Med 2009; 48: 1407-12.
  • 6. Swaye PS, Fisher LD, Litwin P et al. Aneurysmal coronary artery disease. Circulation 1983; 67: 134-8.
  • 7. Topaz O, DiSciascio G, Cowley MJ et al. Angiographic features of left main coronary artery aneurysms. Am J Cardiol 1991; 67: 1139–42.
  • 8. Roberts WC. Natural history, clinical consequences, and morphologic features of coronary arterial aneurysms in adults. Am J Cardiol 2011; 108: 814–21.
  • 9. Boyer N, Gupta R, Schevchuck A et al. Coronary artery aneurysms in acute coronary syndrome: case series, review, and proposed management strategy. J Invasive Cardiol 2014; 26: 283–90.
  • 10. Szalat A, Durst R, Cohen A, Lotan C. Use of polytetrafluoroethylene-covered stent for treatment of coronary artery aneurysm. Catheter Cardiovasc Interv 2005; 66: 203–8.
  • 11. Lepojarvi M, Salmela E, Huikuri H, Karkola P. Repair of an aneurysm of the left main coronary artery. Ann Thorac Surg 1996; 61: 1247–9.

A huge aneurysm of the left main coronary artery in a patient presenting with acute anterior myocardial infarction

Year 2020, , 338 - 340, 30.09.2020
https://doi.org/10.18663/tjcl.699469

Abstract

Coronary artery aneurysms (CAAs) are uncommon clinical presentations associated with some acute and chronic complications. They are generally detected incidentally. Stasis in aneurysm may cause thrombosis and thus acute coronary syndrome. This manuscript presents a giant aneurysm of the LMCA observed in the coronary angiography of a 37-year-old female patient who was brought to emergency services due to cardiac arrest and whose electrocardiography (ECG) revealed acute anterior myocardial infarction.

Coronary artery aneurysms (CAAs) are uncommon clinical presentations associated with some acute and chronic complications. They are generally detected incidentally. Stasis in aneurysm may cause thrombosis and thus acute coronary syndrome. This manuscript presents a giant aneurysm of the LMCA observed in the coronary angiography of a 37-year-old female patient who was brought to emergency services due to cardiac arrest and whose electrocardiography (ECG) revealed acute anterior myocardial infarction.

References

  • 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997; 40: 77-84.
  • 2. Nichols L, Lagana S, Parwani A. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 2008; 132: 823-8.
  • 3. Hoşcan Y, Doğan A, Altinbaş A. A case of left main coronary artery aneurysm associated with severe stenosis of left anterior descending artery. [Article in Turkish] Anadolu Kardiyol Derg 2004; 4: 274.
  • 4. Krüger D, Stierle U, Herrmann G, Simon R, Sheikhzadeh A. Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (“dilated coronopathy”). J Am Coll Cardiol 1999; 34: 1461-70.
  • 5. Suzuki H, Fujigaki Y, Mori M et al. Giant coronary aneurysm in a patient with systemic lupus erythematosus. Intern Med 2009; 48: 1407-12.
  • 6. Swaye PS, Fisher LD, Litwin P et al. Aneurysmal coronary artery disease. Circulation 1983; 67: 134-8.
  • 7. Topaz O, DiSciascio G, Cowley MJ et al. Angiographic features of left main coronary artery aneurysms. Am J Cardiol 1991; 67: 1139–42.
  • 8. Roberts WC. Natural history, clinical consequences, and morphologic features of coronary arterial aneurysms in adults. Am J Cardiol 2011; 108: 814–21.
  • 9. Boyer N, Gupta R, Schevchuck A et al. Coronary artery aneurysms in acute coronary syndrome: case series, review, and proposed management strategy. J Invasive Cardiol 2014; 26: 283–90.
  • 10. Szalat A, Durst R, Cohen A, Lotan C. Use of polytetrafluoroethylene-covered stent for treatment of coronary artery aneurysm. Catheter Cardiovasc Interv 2005; 66: 203–8.
  • 11. Lepojarvi M, Salmela E, Huikuri H, Karkola P. Repair of an aneurysm of the left main coronary artery. Ann Thorac Surg 1996; 61: 1247–9.
There are 11 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Ahmet Korkmaz

Bekir Demirtaş This is me

Can Özkan 0000-0002-5561-8030

İlyas Emre This is me

Ümit Guray 0000-0002-6604-2970

Publication Date September 30, 2020
Published in Issue Year 2020

Cite

APA Korkmaz, A., Demirtaş, B., Özkan, C., Emre, İ., et al. (2020). Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması. Turkish Journal of Clinics and Laboratory, 11(4), 338-340. https://doi.org/10.18663/tjcl.699469
AMA Korkmaz A, Demirtaş B, Özkan C, Emre İ, Guray Ü. Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması. TJCL. September 2020;11(4):338-340. doi:10.18663/tjcl.699469
Chicago Korkmaz, Ahmet, Bekir Demirtaş, Can Özkan, İlyas Emre, and Ümit Guray. “Akut Anterior Miyokard infarktüsü Ile başvuran Bir Hastada Distal Sol Ana Koroner Arterin Dev Anevrizması”. Turkish Journal of Clinics and Laboratory 11, no. 4 (September 2020): 338-40. https://doi.org/10.18663/tjcl.699469.
EndNote Korkmaz A, Demirtaş B, Özkan C, Emre İ, Guray Ü (September 1, 2020) Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması. Turkish Journal of Clinics and Laboratory 11 4 338–340.
IEEE A. Korkmaz, B. Demirtaş, C. Özkan, İ. Emre, and Ü. Guray, “Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması”, TJCL, vol. 11, no. 4, pp. 338–340, 2020, doi: 10.18663/tjcl.699469.
ISNAD Korkmaz, Ahmet et al. “Akut Anterior Miyokard infarktüsü Ile başvuran Bir Hastada Distal Sol Ana Koroner Arterin Dev Anevrizması”. Turkish Journal of Clinics and Laboratory 11/4 (September 2020), 338-340. https://doi.org/10.18663/tjcl.699469.
JAMA Korkmaz A, Demirtaş B, Özkan C, Emre İ, Guray Ü. Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması. TJCL. 2020;11:338–340.
MLA Korkmaz, Ahmet et al. “Akut Anterior Miyokard infarktüsü Ile başvuran Bir Hastada Distal Sol Ana Koroner Arterin Dev Anevrizması”. Turkish Journal of Clinics and Laboratory, vol. 11, no. 4, 2020, pp. 338-40, doi:10.18663/tjcl.699469.
Vancouver Korkmaz A, Demirtaş B, Özkan C, Emre İ, Guray Ü. Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması. TJCL. 2020;11(4):338-40.


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