title: A case of giant coronary artery aneurysm and literature review.
abstract: A 40-year-old man was referred to our hospital because of an abnormal shadow on the left cardiac border on the chest roentgenogram at the regular medical health examination without any symptoms. A giant coronary artery aneurysm of left anterior descending artery with a maximum diameter of approximately 50 mm was detected with computed tomography and coronary angiography. The patient was treated and followed up medically. Four years later, the size of the coronary artery aneurysm became larger. Then resection of the coronary artery aneurysm and coronary artery bypass grafting were successfully performed. Coronary artery aneurysms are rare in adults and are usually found in association with Kawasaki disease, coronary atherosclerosis, and so on. We also review the literature of giant coronary artery aneurysms exceeding 50 mm in diameter.
authors.affiliation: Division of Cardiology, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, 232-0024, Japan. tebina@med.yokohama-cu.ac.jp
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Ebina
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Ishikawa
authors.forename: Keiji
authors.initials: K
authors.lastname: Uchida
authors.forename: Shinichi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Imoto
authors.forename: Jun
authors.initials: J
authors.lastname: Okuda
authors.forename: Kengo
authors.initials: K
authors.lastname: Tsukahara
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Hibi
authors.forename: Masami
authors.initials: M
authors.lastname: Kosuge
authors.forename: Shinichi
authors.initials: S
authors.lastname: Sumita
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Mochida
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Uchino
authors.forename: Satoshi
authors.initials: S
authors.lastname: Umemura
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kimura
mesh_terms: D000328:Adult; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed