Coronary syndrome acute as first manifestation of multiple aneurisms of coronary arteries: case report.

• Data de Publicação: 2022
• Outros Autores: Sousa Genaro, Sylvia, Caroline Moreira Vieira, Eduarda, Troiani do Nascimento, Charlene, Leão, Fábio Rossetto, Bueno, Talita Tiemi Hoshino, Barbosa, Emanuely Camargo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Colloquium Vitae
• Texto Completo: http://revistas.unoeste.br/index.php/cv/article/view/3952
• topic: coronary disease; coronary aneurysm; acute coronary syndrome; coronary angiography; atherosclerosis; coronariopatia; aneurisma coronário; síndrome coronariana aguda; angiografia coronária; aterosclerose

The study reports the case of a patient with multiple aneurysms and ectasias of the coronary arteries whose first manifestation was acute coronary syndrome. This is a 42-year-old male patient who was diagnosed with acute myocardial infarction without ST segment elevation. Cineangiocoronariography showed a three-vessel lesion with aneurysmatic and ectatic coronary dilations. Myocardial revascularization surgery was chosen, but he refused to undergo surgical treatment. He was discharged with optimized clinical treatment with outpatient follow-up. Months after diagnosis, the patient died and was being followed up in another service. Coronary artery aneurysm is a rare entity. The ideal management is still not well established, with doubts and disagreements about surgical and interventional treatment and when to indicate them.