Work

Acute Coronary Syndrome With Giant Pancoronary and Ascending–Descending Aortic Aneurysms

Year: 2025

Type: article

Abstract: A 62-year-old man with a history of hypertension and chronic obstructive pulmonary disease presented with an anterior ST-segment elevation myocardial infarction. Thrombolysis preceded imaging, which showed a 31-mm left main coronary aneurysm and ≥20-mm right coronary aneurysm with diffuse thrombosis and arch dilatation. Triple coronary artery bypass grafting and aortic arch endografting were performed 10 days later; however, the patient developed refractory mixed shock and, without ECMO/Impella, died 48 hours postoperatively.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.104420

Authors: Gamaliel Alejandro Velasquez-Orozco, Elias Noel Andrade-Cuellar, Vincenzo Arenas-Fabbri, Juan Carlos Rivera-Guerrero, Heberto Aquino-Bruno, Juan Francisco Garcia-Garcia

Institutions: Institute for Social Security and Services for State Workers, Hospital General de México

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850