Asian Journal of Cardiology Research

A Coronary Artery Aneurysm with a Large Subepicardial Ischemia in a Patient Undergoing a Valvular Heart Surgery: Should a Coronary Artery Bypass be Combined or Not? A Case Report

Inasse Bargach *

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

Soumaila Nikièma

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

Désiré Massimbo

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

Lakhal Zouhair

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

Najat Mouine

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

Aatif Benyass

Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Training Hospital, Mohammed V University, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Coronary artery aneurysm (CAA) is a rare coronary disease defined as a dilation of a coronary artery 1.5 times or more its normal size. It is often revealed by an acute myocardial infarction however sometimes  it can be completely asymptomatic .Because of the relative rarity of this disease , there is no consensus on its management options and controversy persists regarding the use of medical or surgical modalities . The study report an unusual case of a CAA  associated with a large subepicardial ischemia discovered incidentally in a patient undergoing surgery for severe mitral stenosis. The aim of this case report is to show the unusual association between coronary artery aneurysm and mitral stenosis, and to discuss the therapeutic management of coronary artery aneurysm in such an association, thereby demonstrating the necessity of elaborating recommendations for the management of coronary artery aneurysm.

Keywords: Coronary artery aneurysm, heart surgery, management, large subepicardial ischemia

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DOI:10.1111/1754-9485.12980.