Large Aneurysms of the Ascending Aorta and Major Coronary Arteries in a Patient With Hereditary Hemorrhagic Telangiectasia

Hsi, David H.; Ryan, Gerald F.; Hellems, Steven O.; Cheeran, David C.; Sheils, Lucy A.
June 2003
Mayo Clinic Proceedings;Jun2003, Vol. 78 Issue 6, p774
Academic Journal
We describe a 50-year-old man with a history of hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) who presented with chest pain, atrial fibrillation, and congestive heart failure. Echocardiography revealed a large ascending aortic aneurysm accompanied by severe aortic regurgitation and giant coronary artery aneurysms involving the right, left main, left anterior descending, and circumflex coronary arteries. Coronary angiography clearly defined multiple aneurysms involving the aorta and coronary arteries. The patient underwent complex and successful surgical repair of the aneurysms. To our knowledge, this is the first reported case of extensive cardiac involvement in a patient with this uncommon genetic disorder.


Related Articles

  • Coronary Artery Aneurysm Without Stenosis in Association with Osler-Weber-Rendu Disease--A Case Report. Tsuiki, Kai; Tamada, Yoshiaki; Yasui, Shoji // Angiology;Jan1991, Vol. 42 Issue 1, p55 

    A fifty-three-year-old woman presented with coronary artery aneurysm in association with Osler-Weber-Rendu disease (hereditary hemorrhagic telangiectasia) manifested also by large pulmonary arteriovenous fistulas. The arterial dye dilution curves were unusually distorted owing to the...

  • Spontaneous dissection of the left main coronary artery in a patient with Osler-Weber-Rendu disease.  // Heart;Mar2006, Vol. 92 Issue 3, p394 

    The article presents a medical case of a 33-year-old woman, with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease), admitted to the hospital 48 hours after a prolonged episode of chest pain. Cardiac row multislice computed tomography revealed a dissection originating from the...

  • Coronary pseudoaneurysm after angioplasty. Flum, David R.; McGinn, Joseph T. // American Surgeon;Dec1995, Vol. 61 Issue 12, p1035 

    Focuseson coronary pseudoaneurysm as a surgical complication of angioplasty based on the case of a 64-year-old male with a history of angina on exertion. Ratio of occurrence; Etiology; Medical information on aneurysms; Differentiation in the management of true and pseudoaneurysms; Indications...

  • Reply to Ugur et al. Kondoh, Haruhiko; Taniguchi, Kazuhiro; Funatsu, Toshihiro; Kuki, Satoru // European Journal of Cardio-Thoracic Surgery;Aug2013, Vol. 44 Issue 2, p401 

    A response from the author of the article "Debranching of the arch in aortic aneurysms" in the 2013 issue is presented.

  • Heart Smarts.  // Radiologic Technology;Jan/Feb2014, Vol. 85 Issue 3, p352 

    The article presents a medical image of a coronary angiogram showing a blockage in a left main coronary artery, discusses the future of radiology, and reports on the possibility that portable x-ray machines can serve as a mechanism for transporting bacteria and viruses to the hospital.

  • Giant Coronary Artery Aneurysms. Almassi, G. Hossein // Texas Heart Institute Journal;Feb2015, Vol. 42 Issue 1, p96 

    A letter to the editor is presented in response to the article "Giant Coronary Artery Aneurysms: Review and Update" by P. D. Crawley that was published in the journal in 2014.

  • Aortic stent-grafting: successful introduction into the combined procedure for coronary artery bypass grafting and aortic aneurysm repair. Lachat, M.; Witzke, H.; Pfammatter, T.; Bettex, D.; Slankamenac, K.; Wolfensberger, U.; Turina, M. // European Journal of Cardio-Thoracic Surgery;Apr2003, Vol. 23 Issue 4, p532 

    Objectives: Coronary artery bypass grafting (CABG) and combined stent-grafting (SG) were evaluated to reduce morbidity and mortality of patients with descending or infrarenal aortic aneurysm. Methods: CABG and SG (thoracic n=6, infrarenal n=36) were performed during the same...

  • Surgical strategy for coronary artery aneurysms. Hibino, M.; Tajima, K.; Uchida, K.; Munakata, H.; Fujii, K.; Kato, W.; Takami, Y.; Sakai, Y. // Journal of Cardiothoracic Surgery;2013, Vol. 8 Issue Suppl 1, p1 

    An abstract of the article "Surgical strategy for coronary artery aneurysms" by M. Hibino and colleagues is presented.

  • Dynamic left main coronary artery stenosis caused by an aortic aneurysm after aortic valve replacement. Hagenah, G.; Herzum, M.; Grimm, W. // Heart;Apr2007, Vol. 93 Issue 4, p518 

    An image of coronary artery stenosis causes by aortic aneurysm is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics