[Large coronary aneurysm diagnosed during an acute coronary syndrome. A case report and review of the literature].
Coronary aneurysm is an uncommon variant of coronary atherosclerosis. It usually involves the right coronary artery and is often associated with significant coronary stenosis. It may be revealed by an acute coronary syndrome (ACS). We report the case of a 49 year-old woman in whom a large coronary aneurysm of the left anterior descending artery was revealed by an ACS. Coronary angiography remains the gold standard diagnosis procedure, but spiral computed tomography may be of interest to specify the location and nature of the aneurysm, and thus guide surgical or percutaneous treatment.
Cohen
R
R
Service de cardiologie, hôpital Cochin, 27, rue du Faubourg Saint-Jacques, 75014 Paris.
Salengro
E
E
Vignaux
O
O
Bical
O
O
Spaulding
C
C
D000789:Angina, Unstable / Q000150:complications*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000601:surgery; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*