BMJ Case Reports 2018; doi:10.1136/bcr-2018-224244
  • Unexpected outcome (positive or negative) including adverse drug reactions

Medically managed coronary artery aneurysm without concomitant stenosis

  1. Michael Nguyen
  1. Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  1. Correspondence to Dr Rohita Reji, rohita.reji{at}
  • Accepted 30 April 2018
  • Published 14 May 2018


Coronary artery aneurysms (CAAs) are relatively rare with an incidence varying from 1.4% to 5.3% of patients undergoing coronary angiography. Studies suggest that management of CAA can be guided by the absence or presence of significant coronary artery stenosis, with most concluding that CAA associated with stenosis of ≥70% should be managed surgically or with percutaneous intervention. However, given the paucity of cases described in the literature and lack of randomised control trials, no consensus exists on the natural history, prognosis or management of CAAs without significant concomitant stenosis. We present a case of medically managed atherosclerotic CAA without significant stenosis that was found to no longer be present on coronary angiography performed 11 years after initial diagnosis.


  • Contributors RR prepared the draft with important contributions from MN. Final submission approved by both authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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