Giant Left Main Coronary Artery Aneurysm: A Decade-Long Evolution of an Incidental Finding

Martina Rizzo; Federico Landra; Giulia Elena Mandoli; Gianfranco Montesi; Matteo Cameli

doi:10.1016/j.jaccas.2024.103113

Giant Left Main Coronary Artery Aneurysm: A Decade-Long Evolution of an Incidental Finding

Martina Rizzo^*, Federico Landra, Giulia Elena Mandoli, Gianfranco Montesi, Matteo Cameli

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

This clinical vignette details a rare case of a patient with a left ventricular aneurysm and an incidentally discovered giant left main coronary artery aneurysm. A review of the patient's history and previous imaging revealed the aneurysmal dilation had been present for 10 years. Giant coronary artery aneurysms are rare and typically asymptomatic, with unclear pathophysiology and poorly documented natural history. There is no consensus on the optimal intervention, underscoring the need for awareness of this rare pathology for early detection and prevention of future complications.

Original language	English
Article number	103113
Journal	JACC. Case reports
Volume	30
Issue number	5
DOIs	https://doi.org/10.1016/j.jaccas.2024.103113
Publication status	Published - 5 Mar 2025

Keywords

cardiac CT
coronary angiography
giant coronary artery aneurysm
ventricular aneurysm
ventricular angiography

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10.1016/j.jaccas.2024.103113Licence: CC BY-NC-ND

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title = "Giant Left Main Coronary Artery Aneurysm: A Decade-Long Evolution of an Incidental Finding",

abstract = "This clinical vignette details a rare case of a patient with a left ventricular aneurysm and an incidentally discovered giant left main coronary artery aneurysm. A review of the patient's history and previous imaging revealed the aneurysmal dilation had been present for 10 years. Giant coronary artery aneurysms are rare and typically asymptomatic, with unclear pathophysiology and poorly documented natural history. There is no consensus on the optimal intervention, underscoring the need for awareness of this rare pathology for early detection and prevention of future complications.",

keywords = "cardiac CT, coronary angiography, giant coronary artery aneurysm, ventricular aneurysm, ventricular angiography",

author = "Martina Rizzo and Federico Landra and Mandoli, {Giulia Elena} and Gianfranco Montesi and Matteo Cameli",

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T1 - Giant Left Main Coronary Artery Aneurysm

T2 - A Decade-Long Evolution of an Incidental Finding

AU - Rizzo, Martina

AU - Landra, Federico

AU - Mandoli, Giulia Elena

AU - Montesi, Gianfranco

AU - Cameli, Matteo

PY - 2025/3/5

Y1 - 2025/3/5

N2 - This clinical vignette details a rare case of a patient with a left ventricular aneurysm and an incidentally discovered giant left main coronary artery aneurysm. A review of the patient's history and previous imaging revealed the aneurysmal dilation had been present for 10 years. Giant coronary artery aneurysms are rare and typically asymptomatic, with unclear pathophysiology and poorly documented natural history. There is no consensus on the optimal intervention, underscoring the need for awareness of this rare pathology for early detection and prevention of future complications.

AB - This clinical vignette details a rare case of a patient with a left ventricular aneurysm and an incidentally discovered giant left main coronary artery aneurysm. A review of the patient's history and previous imaging revealed the aneurysmal dilation had been present for 10 years. Giant coronary artery aneurysms are rare and typically asymptomatic, with unclear pathophysiology and poorly documented natural history. There is no consensus on the optimal intervention, underscoring the need for awareness of this rare pathology for early detection and prevention of future complications.

KW - cardiac CT

KW - coronary angiography

KW - giant coronary artery aneurysm

KW - ventricular aneurysm

KW - ventricular angiography

U2 - 10.1016/j.jaccas.2024.103113

DO - 10.1016/j.jaccas.2024.103113

M3 - Article

SN - 2666-0849

VL - 30

JO - JACC. Case reports

JF - JACC. Case reports

IS - 5

M1 - 103113

ER -

Giant Left Main Coronary Artery Aneurysm: A Decade-Long Evolution of an Incidental Finding

Abstract

Keywords

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