title: Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock.
abstract: Giant coronary aneurysms are rare. We present a 25-year-old woman with a known history of non-Kawasaki/nonatherosclerotic bilateral coronary aneurysms. She was transferred to our facility with acute coronary syndrome complicated by cardiogenic shock. Angiography demonstrated giant bilateral coronary aneurysms and complete occlusion of the left anterior descending (LAD) artery. Emergent coronary artery bypass grafting was performed. Coronary artery bypass grafting is the preferred approach for addressing giant coronary aneurysms. Intervention on the aneurysm varies in the literature. Aggressive revascularization is recommended in the non-Kawasaki/nonatherosclerotic aneurysm patient, and ligation should be performed in patients with thromboembolic phenomena.
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University, School of Medicine, Stanford, California.
authors.forename: Peter
authors.initials: P
authors.lastname: Chiu
authors.affiliation: Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California.
authors.forename: Donald
authors.initials: D
authors.lastname: Lynch
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University, School of Medicine, Stanford, California.
authors.forename: Jama
authors.initials: J
authors.lastname: Jahanayar
authors.affiliation: Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California; Division of Pediatric Cardiology, Stanford University, School of Medicine, Stanford, California.
authors.forename: Ian S
authors.initials: IS
authors.lastname: Rogers
authors.affiliation: Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tremmel
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University, School of Medicine, Stanford, California. Electronic address: jackboyd@stanford.edu.
authors.forename: Jack
authors.initials: J
authors.lastname: Boyd
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000328:Adult; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed