alexa A Lifesaving Abdominal Pain: Unusual Presentation of Giant Coronary Artery Aneurysm among Multiple Aneurismatic Coronary Disease
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

A Lifesaving Abdominal Pain: Unusual Presentation of Giant Coronary Artery Aneurysm among Multiple Aneurismatic Coronary Disease

Rosaria Di Matteo* and Valentina Scarponi
Emergency Department, San Filippo Neri Hospital, Rome, Italy
Corresponding Author : Rosaria Di Matteo
Emergency Department
San Filippo Neri Hospital, Rome, Italy
Tel: +39 06 3060 0651
E-mail: [email protected]it
Received: December 07, 2015; Accepted: December 17, 2015; Published: December 24, 2015
Citation: Di Matteo R, Scarponi V (2015) A Lifesaving Abdominal Pain: Unusual Presentation of Giant Coronary Artery Aneurysm among Multiple Aneurismatic Coronary Disease. J Clin Case Rep 5:673. doi:10.4172/2165-7920.1000673
Copyright: © 2015 Di Matteo R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Coronary artery aneurysms are rare with a prevalence estimated between 0.3-5% among people undergoing angiography. Giant coronary artery aneurysms (CAA) defined as having a diameter of 2 cm or greater are rare with a reported prevalence of 0.02%. Combination of giant coronary aneurysm with multiple fusiform aneurysms in the remaining coronary arteries is even rarer. Giant CAAs are prevalent in adult male and predominant in right coronary artery; the etiology is atherosclerotic or associated with Kawasaki disease, Takayasu arteritis, collagen vascular disease, IgG4-related coronary periarteritis or secondary to drug-eluating stent implantation. Complications could be thrombosis of the aneurismal sac with secondary acute coronary syndrome or rupture of the sac with fatal consequences, but patients can be completely asymptomatic. We describe an interesting case of a 58 year-old man who had multiple atherosclerotic CAA, one of which was a giant CAA of the right coronary artery presenting to us claiming abdominal pain without any kind of cardiac symptoms.

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