Title:Coronary Artery Aneurysms as a Cause of Acute Coronary Syndrome
Presentation - A Focused Review
Volume: 19
Issue: 5
Author(s): Azka Latif*, Amy Tran, Junaid Ahsan, Noman Lateef, Waiel Abusina, Vikas Kapoor, Zoraiz Ahsan, Soban Ahmad and Mohsin Mirza
Affiliation:
- Division of Cardiovascular Medicine, Baylor College of Medicine, Houston, Texas, USA
Keywords:
Coronary artery aneurysms, acute coronary syndrome, coronary artery disease, complications, management, CAAR.
Abstract: Coronary artery aneurysms (CAA) are defined as a dilation of a coronary vessel greater
than 1.5 times the diameter of a local reference vessel. While CAAs tend to be incidental findings
on imaging, they result in complications, such as thrombosis, embolization, ischemia, arrhythmias,
and heart failure. Among symptomatic cases, chest pain has been the most common manifestation
of CAAs. This necessitates an understanding of CAAs as a cause of acute coronary syndrome
(ACS) presentation. However, due to the unclear pathophysiology of CAAs and their variable
presentation complicated by similar ACS conditions, there is no clear strategy for CAA management.
In this article, we will discuss the contribution of CAAs to ACS presentations and review the
current management options for CAAs.