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J Thorac Cardiovasc Surg 2003;126:888-890
© 2003 The American Association for Thoracic Surgery

Brief communications

Giant atherosclerotic aneurysm of the left anterior descending artery

Nawwar Al Attar, FRCS, FETCSa, Jean-Louis Sablayrolles, MDb, Patrick Nataf, MD*,a

a Department of Cardiac Surgery, Centre Cardiologique du Nord, St Denis, France
b Department of Radiology, Centre Cardiologique du Nord, St Denis, France

Received for publication March 6, 2003; accepted for publication March 12, 2003.

* Address for reprints: Patrick Nataf, MD, Department of Cardiac Surgery, Centre Cardiologique du Nord, 32–36 rue des Moulins Gémeaux, 93200, St Denis, France
natafp@wanadoo.fr

The first 20% of the full text of this article appears below.

Large coronary aneurysms are mostly due to Kawasaki’s disease. We report a case of giant atherosclerotic aneurysm of the left anterior descending artery (LAD) discovered incidentally in a patient with no previous coronary history. Multislice computed tomography (CT) scan of the heart gave excellent iconography, allowing accurate diagnosis and differentiating it from an aneurysm of the pulmonary artery.

Case history

A 67-year-old man of Algerian descent with no significant medical history presented with sudden onset ataxia and vertigo. The patient was overweight, afebrile, and ataxic. Blood pressure was 140/85 mm Hg and heart rate was regular. Brain CT scan showed left cerebellar infarction. As part of his workup, a posteroanterior chest radiograph showed a voluminous left hilar mass (Figure 1).


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  		Figure 1. Chest radiograph showing left hilar mass.

 
Thoracic CT angioscan (GE . . . [Full Text of this Article]




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