Akut anterior miyokard infarktüsü ile başvuran bir hastada distal sol ana koroner arterin dev anevrizması

Year 2020, , 338 - 340, 30.09.2020

Ahmet Korkmaz , Bekir Demirtaş Can Özkan , İlyas Emre Ümit Guray

https://doi.org/10.18663/tjcl.699469

Abstract

Koroner arter anevrizmaları (CAA), bazı akut ve kronik komplikasyonlarla ilişkili nadir klinik tablolardır. Genellikle tesadüfen tespit edilir. Anevrizma içindeki durağanlık tromboz ve dolayısıyla akut koroner sendroma neden olabilir. Bu yazıda, kardiyak arrest nedeniyle acil servise getirilen ve elektrokardiyografisi (EKG) akut anterior miyokard infarktüsü ile uyumlu olan 37 yaşındaki bir kadın hastanın koroner anjiyografisinde gözlenen LMCA dev anevrizması sunulmaktadır.

Koroner arter anevrizmaları (CAA), bazı akut ve kronik komplikasyonlarla ilişkili nadir klinik tablolardır. Genellikle tesadüfen tespit edilir. Anevrizma içindeki durağanlık tromboz ve dolayısıyla akut koroner sendroma neden olabilir. Bu yazıda, kardiyak arrest nedeniyle acil servise getirilen ve elektrokardiyografisi (EKG) akut anterior miyokard infarktüsü ile uyumlu olan 37 yaşındaki bir kadın hastanın koroner anjiyografisinde gözlenen LMCA dev anevrizması sunulmaktadır.

Keywords

Akut miyokard infarktüsü, koroner arter anevrizması, sol ana koroner arter

A huge aneurysm of the left main coronary artery in a patient presenting with acute anterior myocardial infarction

Abstract

Coronary artery aneurysms (CAAs) are uncommon clinical presentations associated with some acute and chronic complications. They are generally detected incidentally. Stasis in aneurysm may cause thrombosis and thus acute coronary syndrome. This manuscript presents a giant aneurysm of the LMCA observed in the coronary angiography of a 37-year-old female patient who was brought to emergency services due to cardiac arrest and whose electrocardiography (ECG) revealed acute anterior myocardial infarction.

Coronary artery aneurysms (CAAs) are uncommon clinical presentations associated with some acute and chronic complications. They are generally detected incidentally. Stasis in aneurysm may cause thrombosis and thus acute coronary syndrome. This manuscript presents a giant aneurysm of the LMCA observed in the coronary angiography of a 37-year-old female patient who was brought to emergency services due to cardiac arrest and whose electrocardiography (ECG) revealed acute anterior myocardial infarction.

Keywords

Acute myocardial infarction, coronary artery aneurysm, left main coronary artery

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