Isolated huge aneurysm of the left main coronary artery in a 22-year-old patient with type 1 neurofibromatosis.
A 22-year-old patient with neurofibromatosis type 1 presented with acute chest pain. A computed tomography scan and coronary angiography revealed a partially thrombosed huge aneurysm of the left main coronary artery. Despite medical treatment, the patient's angina recurred. The patient underwent a coronary bypass grafting operation and surgical exclusion of the aneurysm. Postoperative imaging disclosed good permeability of the 3 coronary artery bypass grafts and complete thrombosis of the excluded aneurysm.
Department of Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson, France.
Margaux
M
Pontailler
Department of Cardiology, Valenciennes General Hospital, Valenciennes, France.
Didier
D
Vilarem
Department of Radiology, Marie Lannelongue Hospital, Le Plessis Robinson, France.
Jean-François
JF
Paul
Department of Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson, France. Electronic address: phideleuze@free.fr.
Philippe H
PH
Deleuze
D003323:Coronary Aneurysm / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications*; D055815:Young Adult