Objectives
Aneurysm of coronary artery especially left main coronary artery is a rare condition and its incidence is approximately %0.1 of patients who had routine angiography. The most cause of aneurysm is atherosclerosis, but other causes include trauma, connective tissue diseases and vasculitis. The main problem about aneurysm is myocardial ischemia or infarction but rarely they can cause rupture of coronary artery.
Methods
A 63 year old hypertensive man was admitted to our emergency department with acute onset of chest pain and sweating. His electrocardiogram showed ST depression of 1 mm in lateral leads. After echocardiography application, we determined hypokinetic area in the septal portion and apical portion of left ventricle with an ejection fraction of % 45. İn the follow up period the cardiac troponin and CK-MB levels were increased. After increasing of cardiac biomarkers we planned coronary angiography. The coronary angiography revealed a giant aneurysm of lef main coronary artery with a size of 6,3×7,2 mm in the distal part of artery and multivessel disease also (Figure 1.).
Methods
A 63 year old hypertensive man was admitted to our emergency department with acute onset of chest pain and sweating. His electrocardiogram showed ST depression of 1 mm in lateral leads. After echocardiography application, we determined hypokinetic area in the septal portion and apical portion of left ventricle with an ejection fraction of % 45. İn the follow up period the cardiac troponin and CK-MB levels were increased. After increasing of cardiac biomarkers we planned coronary angiography. The coronary angiography revealed a giant aneurysm of lef main coronary artery with a size of 6,3×7,2 mm in the distal part of artery and multivessel disease also (Figure 1.).
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