Management of Coronary Artery Aneurysms

JACC Cardiovasc Interv. 2018 Jul 9;11(13):1211-1223. doi: 10.1016/j.jcin.2018.02.041.

Abstract

Aneurysmal dilation of coronary arteries is observed in up to 5% of patients undergoing coronary angiography. Due to their poorly elucidated underlying mechanisms, their variable presentations, and the lack of largescale outcome data on their various treatment modalities, coronary artery aneurysms and coronary ectasia pose a challenge to the managing clinician. This paper aims to provide a succinct review of aneurysmal coronary disease, with a special emphasis on the challenges associated with its interventional treatment.

Keywords: coils; coronary artery aneurysm; coronary ectasia; covered stent; surgical resection.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Cardiac Surgical Procedures* / adverse effects
  • Cardiovascular Agents / adverse effects
  • Cardiovascular Agents / therapeutic use*
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / epidemiology
  • Coronary Aneurysm / therapy*
  • Coronary Artery Bypass
  • Humans
  • Ligation
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / instrumentation
  • Risk Factors
  • Stents
  • Treatment Outcome

Substances

  • Cardiovascular Agents