title: Fusiform coronary aneurysm in the left circumflex artery with recurrent myocardial infarction and idiopathic thrombopenia.
abstract: The authors describe the rare case of a patient with fusiform coronary aneurysm with myocardial infarction in the left circumflex artery complicated by idiopathic thrombopenia. Medical treatment with a combination of warfarin and aspirin could not prevent recurrence of angina pectoris and myocardial infarction, but surgical ligation of the proximal site of the fusiform aneurysm and coronary bypass to the distal site of the fusiform aneurysm prevented further myocardial infarction and angina pectoris.
authors.affiliation: The Department of Cardiopulmonary Medicine, Ishikiriseiki Hospital, 18028 Yayoi, Higashi-osaka City, Osaka 579-8026, Japan. cardiology@ishikiri.or.jp
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Nakayama
authors.forename: Hideki
authors.initials: H
authors.lastname: Ninomiya
authors.forename: Masakuni
authors.initials: M
authors.lastname: Kido
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Ueda
authors.forename: Kiyomichi
authors.initials: K
authors.lastname: Yoshimaru
authors.forename: Kei
authors.initials: K
authors.lastname: Tsumura
mesh_terms: D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology; D012008:Recurrence; D013921:Thrombocytopenia / Q000175:diagnosis* / Q000209:etiology*