Multiple giant coronary aneurysms: a rare form of coronary artery disease

• Author(s): Lima Lopes, Joana ; Baptista, Sérgio ; Ferreira, Ana Rita ; Magno, Pedro ; Bicho Augusto, João
• Date: 2025
• Persistent ID: http://hdl.handle.net/10400.5/98080
• Origin: Repositório da Universidade de Lisboa
• Document Type: Journal article
• Language: English
• Contributor(s): Repositório Científico de Acesso Aberto da ULisboa

Description

A 63-year-old male, with type 2 diabetes, hypertension and atrial fibrillation, presented with complaints of typical angina. The electrocardiogram and transthoracic echocar diogram were unremarkable. He began antianginal drugs and was referred for an elective coronary angiography that showed multiple giant aneurysms on both coronary arteries (Figure 1, panels A and B). A computed tomography coronary angiography was performed confirming the presence of multiple coronary aneurysms, the largest on the right coronary artery (RCA, 45 mm), followed by the left anterior descendant (LAD, 17 mm) and circumflex (Cx, 15 mm) arteries (Figure 1, panel C).