[Multiple coronary aneurysms in a young man. A diagnostic approach via different technics].
Coronary aneurysms are uncommon. The most frequent etiologies are atherosclerotic and congenital, although there are several other rare causes. Myocardial infarction and sudden death may be the initial manifestations which are usually a consequence of aneurysm complications such as rupture or distal embolization. Although coronariography is the gold standard diagnostic technique, coronary aneurysm may also be detected by non-invasive methods such as ultrasonography and nuclear magnetic resonance. We report the case of a young male with hypercholesterolemia who presented cardiac arrest as the first clinical manifestation. Ultrasonography and MRI revealed the presence of multiple coronary aneurysm. This case illustrates the usefulness of non-invasive techniques for the diagnosis of coronary aneurysm.
Velasco
M
M
Servicio de Cardiología, Hospital Clínico de San Carlos, Madrid.
Zamorano
J L
JL
Almería
C
C
Ferreiros
J
J
Alfonso
F
F
Sánchez-Harguindey
L
L
D000328:Adult; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male