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: ジャーナルへの寄稿学術誌査読


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.

ジャーナルJournal of Medical Ultrasonics
出版ステータス出版済み - 4月 2013

!!!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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