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Year : 2019  |  Volume : 7  |  Issue : 3  |  Page : 187-189

Large aneurysm of the left main coronary artery: A case report

Department of Internal Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia

Correspondence Address:
Dr. Abdullah M Alshehri
Department of Internal Medicine, Imam Abdulrahman Bin Faisal University, P. O. Box 40294, Al-Khobar, 31952
Saudi Arabia
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DOI: 10.4103/sjmms.sjmms_47_18

PMID: 31543742

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Left main coronary artery aneurysms are very rare and are incidentally encountered in about 0.1% of patients undergoing angiography. Atherosclerosis represents the main cause of this aneurysm in adult patients. Here, the author presents a case of a 58-year-old female with a history of hypertension and diabetes who had a Canadian Cardiovascular Society Grade II–III angina for the past 6 months. Selective coronary angiography revealed a large aneurysm involving the left main coronary artery (measuring 2 cm × 3 cm) with extensive coronary calcifications, ectatic proximal left circumflex followed by 80% stenotic lesion with normal left anterior descending and right coronary artery. The patient was managed with coronary artery bypass grafting along with ligation of the aneurysm. At the 3-month follow-up, the patient was asymptomatic. Therefore, distal coronary artery bypass surgery represents one of the therapeutic options and was safe and effective in our case.

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