Giant aneurysm involving the left anterior descending coronary artery. Case report
DOI:
https://doi.org/10.37615/retic.v9n1a9Keywords:
coronary artery aneurysm, coronary disease, acute coronary syndrome, coronary computed tomography angiography, case reportsAbstract
Giant coronary artery aneurysm (GCAA) is defined as a dilation greater than four times its normal diameter, although its low incidence, serious complications can arise from this clinical condition. Its diagnosis is made through multimodal imaging such as coronary angiography and coronary angiotomography for adequate anatomical characterization. Current guidelines do not establish a specific treatment, so management can be clinical, surgical or interventional. We present the case of a 48-year-old female patient who presented with acute coronary syndrome, identifying a giant aneurysm in the anterior descending artery associated with thrombosis. The patient was treated by angioplasty and antithrombotic therapy. Through this case we highlight the need for a multidisciplinary team as well as the individualization
of each patient for making therapeutic decisions.
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Copyright (c) 2026 Jonathan Melena Zapata, Sonia Moreta Coba, Gabriela Santamaría Naranjo, Giovanni Escorza Vélez
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