title: [Giant left main coronary aneurysm without associated coronary lesions].
abstract: Left main coronary artery aneurysms are very infrequent (0.1%) and the majority are related to atherosclerotic obstructive lesions. Only a few isolated cases without associated coronary lesions have been reported until now. The management of these patients is not well established, thus both conservative and surgical treatments have been postulated. We present a case of giant left main coronary artery aneurysm with a diameter of 27.7 x 18.6 mm (the biggest reported until now) without coronary tree associated stenosis. It was treated conservatively with oral anticoagulation only and the 5 years evolution has been favourable.
authors.affiliation: Servicio de Cardiología y Unidad de Cardiología Intervencionista, Hospital Regional Universitario Infanta Cristina, Badajoz, Spain. merchanh@inicia.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Merchán
authors.forename: José R
authors.initials: JR
authors.lastname: López-Mínguez
authors.forename: Francisco
authors.initials: F
authors.lastname: Alonso
authors.forename: Joaquín
authors.initials: J
authors.lastname: Fernández De La Concha
authors.forename: Reyes
authors.initials: R
authors.lastname: González
authors.forename: León
authors.initials: L
authors.lastname: Martínez De La Concha
mesh_terms: D000328:Adult; D003323:Coronary Aneurysm / Q000188:drug therapy / Q000473:pathology*; D006801:Humans