title: Diagnostic approach in symptomatic or asymptomatic aneurismal disease of the coronary arteries: a case report and five-year angiographic follow up.
abstract: Coronary artery aneurysms are rare anomalies that are usually incidental findings in coronary angiography. We present the case of a 64-year-old male patient with a recent episode of epigastric pain, nausea and vomiting, accompanied by electrocardiographic alterations and positive troponin I. As the symptoms persisted, the patient was referred for coronary angiography, during which a significant degree of aneurysmal dilatation was found in all three coronary vessels along their length. Oral administration of anticoagulants was decided upon. After five years of follow up, a new coronary angiogram was recorded, which showed no aggravation of the aneurysmal dilatations, while the patient was free of symptoms.
authors.affiliation: Department of Cardiology, Catheterization Laboratory, 251 General Air force Hospital, Athens, Greece. klabropoulos@mycosmos.gr
authors.forename: Konstantinos M
authors.initials: KM
authors.lastname: Lampropoulos
authors.forename: Nikolaos D
authors.initials: ND
authors.lastname: Tsotsoros
authors.forename: Constadina
authors.initials: C
authors.lastname: Aggeli
authors.forename: Dimitrios P
authors.initials: DP
authors.lastname: Sokolis
authors.forename: Themistoklis A
authors.initials: TA
authors.lastname: Iliopoulos
authors.forename: Christodoulos I
authors.initials: CI
authors.lastname: Stefanadis
mesh_terms: D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors