Coronary Artery Aneurysms as a Cause of Acute Coronary Syndrome Presentation - A Focused Review

Author:

Latif Azka1,Tran Amy2,Ahsan Junaid3,Lateef Noman4,Abusina Waiel2,Kapoor Vikas5,Ahsan Zoraiz6,Ahmad Soban7,Mirza Mohsin2

Affiliation:

1. Division of Cardiovascular Medicine, Baylor College of Medicine, Houston, Texas, USA

2. Department of Medicine, Creighton University Medical Center, Omaha, Nebraska, USA

3. Division of Cardiovascular Medicine, Mercy Medical Center, Iowa Heart Center, Des Moines, Iowa, USA

4. Division of Cardiovascular Medicine, University of Nebraska Medicine, Omaha, Nebraska, USA

5. Department of Medicine, CHI Health Good Samaritan Hospital, Kearney, Nebraska, USA

6. Department of Medicine, Pakistan Medical Center, Islamabad, Pakistan

7. Department of Medicine, East Carolina University/Vidant Medical Center, Greenville, North Carolina, USA

Abstract

Abstract: Coronary artery aneurysms (CAA) are defined as a dilation of a coronary vessel greater than 1.5 times the diameter of a local reference vessel. While CAAs tend to be incidental findings on imaging, they result in complications, such as thrombosis, embolization, ischemia, arrhythmias, and heart failure. Among symptomatic cases, chest pain has been the most common manifestation of CAAs. This necessitates an understanding of CAAs as a cause of acute coronary syndrome (ACS) presentation. However, due to the unclear pathophysiology of CAAs and their variable presentation complicated by similar ACS conditions, there is no clear strategy for CAA management. In this article, we will discuss the contribution of CAAs to ACS presentations and review the current management options for CAAs.

Publisher

Bentham Science Publishers Ltd.

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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