Coronary artery aneurysm

Coronary artery aneurysm
Classification and external resources
Specialty	cardiology
ICD-10	I25.4
ICD-9-CM	414.11
MeSH	D003323

Coronary artery aneurysm is an abnormal dilatation of part of the coronary artery.

Diagnosis

It is often found coincidentally on coronary angiography.^[1]

Causes

Acquired causes include atherosclerosis,^[2] Kawasaki disease^[3] and coronary catheterization.

It can also be congenital.^[4]^[5]

Prognosis

Generally, it has a good prognosis.^[1] In Kawasaki's disease, untreated, there is a 1-2% death rate, from cardiac causes.

References

1 2 Pahlavan PS, Niroomand F (October 2006). "Coronary artery aneurysm: a review". Clin Cardiol 29 (10): 439–43. doi:10.1002/clc.4960291005. PMID 17063947.
↑ Nichols L, Lagana S, Parwani A (May 2008). "Coronary artery aneurysm: a review and hypothesis regarding etiology". Arch. Pathol. Lab. Med. 132 (5): 823–8. doi:10.1043/1543-2165(2008)132[823:CAAARA]2.0.CO;2. PMID 18466032.
↑ Fukazawa R, Ikegam E, Watanabe M; et al. (May 2007). "Coronary artery aneurysm induced by Kawasaki disease in children show features typical senescence" (– ^{Scholar search}). Circ. J. 71 (5): 709–15. doi:10.1253/circj.71.709. PMID 17456996.
↑ Seabra-Gomes R, Somerville J, Ross DN, Emanuel R, Parker DJ, Wong M (April 1974). "Congenital coronary artery aneurysms". Br Heart J 36 (4): 329–35. doi:10.1136/hrt.36.4.329. PMC 1020027. PMID 4842623.
↑ Meinert D, Mohammed Z (March 2000). "MRI of congenital coronary artery aneurysm". Br J Radiol 73 (867): 322–4. PMID 10817051.

Cardiovascular disease I00–I52, 390–429

Ischaemic

Coronary disease	Coronary artery disease (CAD) Coronary artery aneurysm Coronary artery dissection Coronary thrombosis Coronary vasospasm Myocardial bridge

Active ischemia	Angina pectoris Prinzmetal's angina Stable angina Acute coronary syndrome Myocardial infarction Unstable angina

Sequelae	hours Hibernating myocardium Myocardial stunning days Myocardial rupture weeks Aneurysm of heart / Ventricular aneurysm Dressler syndrome

Layers

Pericardium

Myocardium

Endocardium /
valves

Endocarditis	infective endocarditis Subacute bacterial endocarditis non-infective endocarditis Libman–Sacks endocarditis Nonbacterial thrombotic endocarditis

Valves	mitral regurgitation prolapse stenosis aortic stenosis insufficiency tricuspid stenosis insufficiency pulmonary stenosis insufficiency

Conduction /
arrhythmia

Bradycardia

Tachycardia
(paroxysmal and sinus)

Supraventricular	Atrial Multifocal Junctional AV nodal reentrant Junctional ectopic

Ventricular	Accelerated idioventricular rhythm Catecholaminergic polymorphic Torsades de pointes

Premature contraction

Pre-excitation syndrome

Flutter / fibrillation

Other / ungrouped

Other

Arteries, arterioles
and capillaries

Inflammation

Arterial occlusive disease /
peripheral artery disease

Arteriosclerosis	Atherosclerosis Foam cell Fatty streak Atheroma Intermittent claudication Critical limb ischemia Monckeberg's arteriosclerosis Arteriolosclerosis Hyaline Hyperplastic Cholesterol LDL Oxycholesterol Trans fat

Stenosis	Carotid artery stenosis Renal artery stenosis

Other	Aortoiliac occlusive disease Degos disease Erythromelalgia Fibromuscular dysplasia Raynaud's phenomenon

Aneurysm / dissection /
pseudoaneurysm

Vascular malformation

Vascular nevus

Veins

Inflammation	Phlebitis

Venous thrombosis / Thrombophlebitis	primarily lower limb Deep vein thrombosis abdomen Hepatic veno-occlusive disease Budd–Chiari syndrome May–Thurner syndrome Portal vein thrombosis Renal vein thrombosis upper limb / torso Mondor's disease Paget–Schroetter disease head Cerebral venous sinus thrombosis Post-thrombotic syndrome

Varicose veins	Gastric varices Portacaval anastomosis Caput medusae Esophageal varices Hemorrhoid Varicocele

Other	Chronic venous insufficiency Chronic cerebrospinal venous insufficiency Superior vena cava syndrome Inferior vena cava syndrome Venous ulcer

Arteries or veins

Blood pressure

Hypertension	Hypertensive heart disease Hypertensive emergency Hypertensive nephropathy Essential hypertension Secondary hypertension Renovascular hypertension Benign hypertension Pulmonary hypertension Systolic hypertension White coat hypertension

Hypotension	Orthostatic hypotension

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