A 64-year-old man was admitted with unstable angina pectoris. He had been followed-up at outpatient clinics for mild to moderate aortic regurgitation and bicuspid aortic valve. He developed complete atrioventricular block (AVB) and underwent permanent pacemaker implantation 9 years previously. Cardiac catheterization showed severe stenosis at the left main trunk, as well as unexpected unrupture...

Kawasaki disease is an acute febrile disease of unknown etiology, characterized by systemic vascular inflammation involving the small and medium sized arteries, with a predilection for the coronary arteries. It represents the leading cause of acquired heart diseases in children in developed countries. Diagnosis, difficult because of the clinical characteristics of the disease with typical signs...

was taken which showed that the aneurysm had increased in size (Figure 1D). Faced with a risk of complications (thrombosis, embolism, rupture) we decided to perform another surgical procedure involving aneurysm resection and derivation of the internal mammary artery to the anterior descending artery (Figure 2). The microbiology culture was sterile and the histological study showed non-specific ...

INTRODUCTION Coronary artery aneurysm (CAA) is defined as coronary dilatation which exceeds the diameter of the normal adjacent artery segments or the diameter of the patient's largest coronary artery by 1.5 times. The incidence of giant CAA is difficult to be determined, since only few reports have been described in the literature. METHODS AND RESULTS A 65-year-old man was referred to our ho...

An 11-year-old boy with mucocutaneous lymph node syndrome, who later developed an acute anteroseptal infarction and unstable angina, is presented. Anginal attacks were shown by 24-hour long-term ambulatory electrocardiographic recording. He was shown to have multiple coronary aneurysms with thrombi, and underwent a successful aorto-coronary bypass.

Methods In emergency situation, preoperative patient work-up for cardio-vascular surgery is quite different from the elective setting. Since 03/2000 till 01/2012 we have analyzed a consecutive series of 12 172 cases out of which 2214 underwent emergency procedures (18.19%). The most frequent problems requiring urgent intervention were thoracic aortic aneurysms (448 cases; 20.24%); coronary arte...

Coronary artery aneurysm after coronary interventions are rare but variable (0.2%-1.7%) clinicopathological entity depending on whether a incidental or a routine 6 monthly angiographic follow up finding and is seen more common with drug eluting stents (DES) rather than bare metal stents (BMS). It is of three types and depending on the type and patient clinical response further strategy (conserv...