Aneurysm of the left main coronary artery without obstructive disease: report of a case presenting with severe unstable angina and treated with systemic thrombolysis.
A fusiform aneurysm of the left main coronary artery without associated obstructive disease was detected in a 77-year-old patient with severe unstable angina treated with systemic thrombolysis. The authors emphasize the following features: (1) unusual location of the aneurysm, (2) absence of concomitant obstruction in this age group, and (3) clinical efficacy of thrombolysis and subsequent long-term oral anticoagulation.
La Vecchia
L
L
Divisione Clinicizzata di Cardiologia, Ospedale Civile S. Bortolo, Vicenza, Italy.
Bedogni
F
F
Ometto
R
R
Mosele
G M
GM
Vincenzi
M
M
D000368:Aged; D000789:Angina, Unstable / Q000150:complications* / Q000188:drug therapy; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
D010959:Tissue Plasminogen Activator