A 58-year-old female with a history of Wolff-Parkinson-White syndrome presented at our institution with palpitations and chest pain. Electrocardiography revealed paroxysmal supraventricular tachycardia with a heart rate of 188 beats/min. Antiarrhythmic drugs were ineffective, and tachycardia was resolved by electrical cardioversion. Transthoracic echocardiography revealed abnormal vessels aroun...

A 20-months-old infant was admitted with prolonged fever, bilateral non-purulent conjunctivitis, strawberry tongue, lip cracking and maculopapular rash. Left branch coronary aneurysm formation was detected in Color-Doppler echocardiography. The diagnosis was Kawasaki disease. After 6 weeks, he had alopecia totalis. Although, alopecia areata has been seen in Kawasaki disease, but alopecia totali...

Although either coronary artery aneurysm or coronary arterio-venous fistula may be found infrequently during coronary angiography, it is very rare to see combination of both structures. Here we present a case of coronary artery fistula combined with a large aneurysm. The aneurysm resembled a mass just beside the left heart border in the chest X-ray (CXR) film. The patient came to our hospital f...

Coronary artery aneurysm is commonly de ined as a localized dilatation exceeding the diameter of adjacent normal coronary segments by 50% [1]. Coronary artery aneurysms may be fusiform, involving the full circumference of the coronary artery, or saccular, involving only a portion of the circumference [2]. Causes of coronary artery aneurysms include atherosclerosis (accounting for 50% of cases),...

OBJECTIVE D-dimer and C-reactive protein are of diagnostic and predictive values in patients have thrombotic tendency, such as vascular thrombosis, coronary artery disease and aortic dissection. However, the comparative study in these biomarkers between the patients with acute aortic dissection and coronary artery disease has not been sufficiently elucidated. METHODS Consecutive surgical pati...

Saccular type of thoracic aortic aneurysm is a rarely seen phenomenon. Here, we present a case of saccular-type aortic aneurysm admitted to coronary care unit with a diagnosis of acute coronary syndrome. A 63-year-old woman presented to our clinic with chest pain lasting for 2-3 hours. Because her chest pain persisted despite intensive medical treatment, she underwent coronary angiography. Coro...

OBJECTIVES The aims of this study were to document the frequency of coronary artery aneurysm formation in patients undergoing directional coronary atherectomy and to determine the relation of such aneurysms to the depth of arterial resection. BACKGROUND Deep arterial injury is relatively frequent with the use of directional coronary atherectomy, but the potential for subsequent coronary arter...

Fig. 1. (A) CT scan image. CT scan shows giant non-coronary sinus of Valsalva aneurysm with neighbouring structures. Arrows indicate closed aortic valves. Ao: aorta, NC-SVA: non-coronary sinus of Valsalva aneurysm, LV: left ventricle, PA: pulmonary artery. (B) TEE image. Trans-oesophageal echocardiography shows aortic cusps level image of sinus of Valsalva aneurysm. *Arrows show aortic cusps, *...

A43-year-old man, previously fit and well, was admitted with an anterior myocardial infarct treated with recombinant tissue plasminogen activator. Five days later, he underwent coronary angiography, which demonstrated a proximal aneurysm of the left anterior descending coronary artery (LAD) (Figure 1), with a severe stenosis immediately distal to the aneurysm (Figure 2) and right coronary arter...

Figure 1: Preoperative chest computed tomography showed an idiopathic aortic root aneurysm with a maximal size of 15 cm, greatly compressing the left ventricular outflow tract, ascending aorta, right atrium and right ventricle. There was a persistent left superior vena cava. There were no clinical findings of Marfan syndrome or Ehlers–Danlos syndrome. Figure 2: A cardiopulmonary bypass was made...