title: Diffuse aneurysmal and obstructive coronary artery disease: a do-not-intervene patient.
abstract: Coronary artery aneurysms are uncommon but potentially hazardous entities found on a small percentage of coronary angiograms. The best management strategy remains to be determined; the coexistence of obstructive coronary artery disease is the main determinant of prognosis. We report the case of a middle-aged woman with mixed aneurysmal and obstructive coronary artery disease presenting as an acute myocardial infarction, probably due to atherosclerosis. The unusual severity and complexity of the angiographic presentation of this case, with involvement of all major coronary arteries, raises important issues in terms of the patient's treatment options.
authors.affiliation: Department of Cardiology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal. eulaliaalvespereira@gmail.com
authors.forename: Eulália
authors.initials: E
authors.lastname: Pereira
authors.forename: Bruno
authors.initials: B
authors.lastname: Melica
authors.forename: João
authors.initials: J
authors.lastname: Primo
authors.forename: João C
authors.initials: JC
authors.lastname: Mota
authors.forename: Nuno
authors.initials: N
authors.lastname: Ferreira
authors.forename: Gustavo
authors.initials: G
authors.lastname: P Morais
authors.forename: Marta
authors.initials: M
authors.lastname: Ponte
authors.forename: Daniel
authors.initials: D
authors.lastname: Caeiro
authors.forename: Mónica
authors.initials: M
authors.lastname: Carvalho
authors.forename: Nuno
authors.initials: N
authors.lastname: Bettencourt
authors.forename: Luís
authors.initials: L
authors.lastname: Vouga
authors.forename: Vasco
authors.initials: V
authors.lastname: Gama
mesh_terms: D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged
keywords: Acute myocardial infarction; Aneurismas coronários; Aterosclerose; Atherosclerosis; Coronary artery aneurysms; Enfarte agudo do miocárdio