Vol 68, No 12 (2010)
Echokardiogram miesiąca
Published online: 2010-12-20
Progression of a small eccentric aneurysm to spontaneous coronary dissection within the left main coronary artery
DOI: 10.33963/v.kp.79887
Kardiol Pol 2010;68(12):1404-1406.
Abstract
A 67 year-old man presented with stable angina pectoris. He underwent primary angioplasty with stenting of the left anterior
descending artery ostial lesion five months previously. A small eccentric aneurysm was shown within the left main coronary
artery. A second angiography, performed a month later, showed slight enlargement of the aneurysm from the base side. In
the final presentation, angiography revealed spontaneous dissection line beginning from the aneurysm base and extending to
the left anterior descending artery. Although progression from coronary aneurysms to dissection is rare, it can occur, and
patients monitored closely, especially when left main coronary aneurysm is present.
Kardiol Pol 2010; 68, 12: 1404-1406
Kardiol Pol 2010; 68, 12: 1404-1406
Keywords: aneurysmspontaneous dissectionleft main coronary artery