A case of giant left main coronary artery aneurysm in an elderly man

Kotaro Numaguchi, Hiroko Inoue, Hiromichi Sonoda, Yukihiro Tomita, Seiya Momosaki, Etsuo Mori, Shinji Sato, Toshihiro Nakamura, Koji Hiyamuta

研究成果: Contribution to journalArticle査読

抄録

Aneurysms of the left main coronary artery are rare and their optimal treatments remain unknown. A 64-year-old man without any symptoms was referred to our department for suspected coronary aneurysm. Transthoracic echocardiography demonstrated an aneurysm of the left main coronary artery. On transesophageal echocardiography, the thrombus was suspected inside and severe ostial stenosis of the left coronary artery was highly suspected due to the accelerated flow velocity. Multidetector computed tomography demonstrated the aneurysm as being 37 mm in diameter with significant stenosis at both left coronary arteries, more clearly than coronary angiography. Because of its size and coexisting coronary artery disease, surgical closure of the aneurysm and coronary artery bypasses were performed. Echocardiography and coronary computed tomography could help in the diagnosis and the therapeutic decision in the case of left main coronary artery aneurysm before coronary angiography.

本文言語英語
ページ(範囲)145-148
ページ数4
ジャーナルJournal of Medical Ultrasonics
40
2
DOI
出版ステータス出版済み - 4 2013
外部発表はい

All Science Journal Classification (ASJC) codes

  • 放射線学、核医学およびイメージング

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