Solitary focal coronary artery aneurysm in a middle aged male with atypical chest pain.
A 52 year old hypertensive Malay man, a smoker who presented with a one month history of mild chest discomfort not related to exertion and had a positive stress test with ST segment depression in the lateral leads. Coronary angiography showed stenosis in the right coronary artery and a coronary aneurysm in the proximal segment of his left anterior descending. The aneurysm was situated just distal to a stenotic lesion. The aneurysm is most likely related to atherosclerotic coronary artery disease. The patient was treated with oral nitrates, aspirin, angiotensin converting enzyme inhibitor and warfarin to prevent thromboembolism related to the coronary aneurysm. He remains asymptomatic one year after diagnosis.
Yeo
C K
CK
Department of Medicine, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalan Tenteram, Kuala Lumpur.
Khalid
Y
Y
D000925:Anticoagulants / Q000627:therapeutic use; D002637:Chest Pain / Q000188:drug therapy / Q000209:etiology*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D005080:Exercise Test; D006322:Heart Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009566:Nitrates / Q000627:therapeutic use; D013923:Thromboembolism / Q000517:prevention & control
D000925:Anticoagulants; D009566:Nitrates