A 54 year old woman with neurofibromatosis type 1 (NF-1) was found to have multiple coronary aneurysms. Intraoperative intravascular ultrasound (IVUS) revealed severe coronary disease proximal to the aneurysm that had not been apparent angiographically. An IVUS picture of one of the giant coronary aneurysms is also shown. The vascular manifestations of neurofibromatosis and the causes of corona...

Aneurysms of the sinus of Valsalva are very rare and mostly located in the right coronary sinus. They might course with dyspnea, fatigue, and acute coronary syndromes. We present herein an extremely rare case report of a 61-year-old woman diagnosed with external left main coronary compression by a giant aneurysm of the left sinus of Valsalva, which was successfully managed with percutaneous cor...

INTRODUCTION Coronary artery aneurysms are seen in 1.5-5% of patients presenting for coronary angiography, but giant aneurysms, defined as being greater than 2 cm in diameter, are rare. Given the paucity of cases and limited experience in diagnosis and management of the disease, each case is a learning tool in itself. CASE PRESENTATION We report the rare case of a 78-year-old Caucasian man wh...

Coronary artery aneurysm (CAA) is a rare entity, defined as localized dilation that exceeds the normal vessel diameter by a factor of 1.5. A giant CAA is described as a very large dilation, when diameter exceeds 20 mm. CAA has a prevalence of 0.02% [Markis 1976]. Different factors may lead to CAA formation, including Kawasaki disease, atherosclerosis, congenital malformations, autoimmune and in...

The major complication of Kawasaki disease is coronary artery dilatation and aneurysm. It occurs in approximately 15-25% of untreated children with Kawasaki Disease. Early diagnosis and treatment with Intravenous immune globulin (IVIG) and aspirin (ASA) can reduce the incidence of coronary artery abnormality to 2%-5%. We report one case of Atypical Kawasaki Disease with Multiple giant coronary ...

To cite: Parekh P, Agrawal N, Vinchurkar M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204144 DESCRIPTION Coronary artery aneurysm (CAA) is defined as dilation exceeding the reference vessel diameter by 50%, while they are termed giant if their diameter exceeds the reference vessel diameter by four times or if the diameter is more than 8 mm. It is ...

An 80-year-old woman with a history of breast cancer status post radiation therapy, paroxysmal atrial fibrillation, and congestive heart failure was referred to our institution for evaluation of a giant left circumflex (LCx) coronary artery aneurysm with fistulous communication to the coronary sinus. The patient initially presented with shortness of breath and non-ST elevation myocardial infarc...

A 65-year-old male patient was referred with exertional chest pain. He had a history of left anterior descending artery (LAD) stent and hypertension. The patient was diagnosed as non-ST elevation myocardial infarction (non-STEMI) due to ischemic changes on the electrocardiogram and a high troponin level. Coronary angiography illustrated a subtotal occlusion of the circumflex artery (Cx) and a g...

Coronary artery fistulae (CAF) represent the most frequent congenital anomalies influencing hemodynamic parameters of coronary arteries. However, CAF complicated with a huge aneurysm does not frequently occur. Determining the optimal management of symptomatic patients with CAF and aneurysm still remains a challenging problem, and has been traditionally considered as an indication for cardiac su...