Asymptomatic Giant Aneurysm of the Left Anterior Descending Coronary Artery: A Case Report and Review of the Literature

Marija Bjelobrk; Slobodan Dodic; Slobodan Dodic; Tatjana Miljkovic; Golub Samardzija; Ilija Bjeljac; Dragana Dabovic; Biljana Dodic; Milenko Rosic; Mila Kovacevic; Aleksandar Redzek; Miklos Fabri

doi:10.18502/jthc.v15i4.5944

Marija Bjelobrk University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Slobodan Dodic University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Slobodan Dodic University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Tatjana Miljkovic University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Golub Samardzija University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Ilija Bjeljac Institute of Cardiovascular Diseases Vojvodina, Clinic of Cardiology, Sremska Kamenica, Serbia.
Dragana Dabovic Institute of Cardiovascular Diseases Vojvodina, Clinic of Cardiology, Sremska Kamenica, Serbia.
Biljana Dodic Educons University, Sremska Kamenica, Serbia.
Milenko Rosic University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Mila Kovacevic University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Aleksandar Redzek University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Miklos Fabri Institute of Cardiovascular Diseases Vojvodina, Clinic of Cardiology, Sremska Kamenica, Serbia.

DOI: https://doi.org/10.18502/jthc.v15i4.5944

Keywords: Coronary aneurysm; Atherosclerosis; Cardiac surgical procedures; Prognosis

Abstract

The most common cause of coronary artery aneurysms is atherosclerosis, which is associated with over 50% of all aneurysms diagnosed in adults. Although patients can be asymptomatic throughout their lives, giant coronary artery aneurysms can manifest themselves as myocardial infarction, aneurysmal rupture, and sudden cardiac death as well. Herein, we describe an asymptomatic patient with numerous risk factors and a positive cardiopulmonary exercise test who was admitted to the cardiology clinic for coronary angiography. A giant coronary artery aneurysm (3.0×2.0 cm in diameter) in the left anterior descending coronary artery and significant stenosis in both left and right coronary arteries were found. After discussing possible treatment options, the hospital’s heart team recommended the surgical resection of the aneurysm and double coronary artery bypass graft. Four years after the cardiac surgery, at the time of writing the current manuscript, the patient is still in good condition and with no symptoms.