{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:49:49Z","timestamp":1753890589767,"version":"3.41.2"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Coronary aneurysm, a dilated segment of the coronary artery, is a rare condition with a prevalence ranging from 0.02% to 0.2%. According to the current literature, reports of large aneurysms in the left main artery are extremely rare. We present a case of a 43-year-old male patient presenting with cough, wheezing, and dyspnea after a cold. Initial examinations suggested viral myocarditis, but further evaluation revealed a giant aneurysm in the left main coronary artery. Due to the high surgical risk, conservative treatment was chosen. Follow-up assessments showed no significant changes in the coronary aneurysm, with slight improvement in dyspnea. This rare case of a left main congenital coronary aneurysm suggests that treatment should consider the patient's overall condition, thrombosis presence, suitability for anticoagulant therapy, and aneurysm location and size.<\/jats:p>","DOI":"10.3389\/fcvm.2024.1504835","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T06:24:20Z","timestamp":1733120660000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Uncommon presentation of left main congenital coronary aneurysm: a rare case report"],"prefix":"10.3389","volume":"11","author":[{"given":"Peng","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shili","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1016\/j.jcin.2018.02.041","article-title":"Management of coronary artery aneurysms","volume":"11","author":"Kawsara","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"B2","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.acvd.2019.10.008","article-title":"Giant coronary aneurysms, from diagnosis to treatment: a literature review","volume":"113","author":"Pham","year":"2020","journal-title":"Arch Cardiovasc Dis"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2040","DOI":"10.1053\/j.jvca.2023.05.030","article-title":"Perioperative management of giant coronary artery aneurysm","volume":"37","author":"Scarpa","year":"2023","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1549","DOI":"10.1016\/j.amjcard.2004.03.011","article-title":"Risk factors and outcomes in patients with coronary artery aneurysms","volume":"93","author":"Baman","year":"2004","journal-title":"Am J Cardiol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e145","DOI":"10.1016\/j.athoracsur.2019.01.078","article-title":"A giant right coronary artery aneurysm leading to tricuspid stenosis","volume":"108","author":"Wang","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1016\/j.jaccas.2022.06.020","article-title":"Coronary artery aneurysm rupture in a patient with polyarteritis nodosa","volume":"4","author":"Schafigh","year":"2022","journal-title":"JACC Case Rep"},{"key":"B7","first-page":"e201732","article-title":"Pseudo-normalization of a coronary artery aneurysm detected by IVUS","volume":"3","author":"Rizk","year":"2017","journal-title":"Glob Cardiol Sci Pract"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e91","DOI":"10.1016\/j.athoracsur.2018.12.035","article-title":"Alternative approachfor the surgical treatment of left main coronary arteryaneurysm","volume":"108","author":"De Hous","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"B9","first-page":"381","article-title":"Coronary artery aneurysms: an update","volume-title":"Novel Strategies in Ischemic Heart Disease","author":"Mata","year":"2012"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1053\/j.jvca.2017.10.032","article-title":"Vasoplegia after cardiovascular procedures-pathophysiology and targeted therapy","volume":"32","author":"Shaefi","year":"2018","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"B11","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/s13054-020-2743-8","article-title":"Vasoplegic syndrome following cardiothoracic surgery-review of pathophysiology and update of treatment options","volume":"24","author":"Busse","year":"2020","journal-title":"Crit Care"},{"key":"B12","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1007\/s11239-021-02418-2","article-title":"Coronary artery aneurysm presenting as acute coronary syndrome: two case reports and a review of the literature","volume":"52","author":"Taskesen","year":"2021","journal-title":"J Thromb Thrombolysis"},{"key":"B13","doi-asserted-by":"publisher","first-page":"E833","DOI":"10.25270\/jic\/21.00121","article-title":"Giant saccular aneurysm of the right coronary artery","volume":"33","author":"\u00d6zt\u00fcrk","year":"2021","journal-title":"J Invasive Cardiol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1016\/j.jcin.2024.04.037","article-title":"Coronary vein graft aneurysm treatment using coils","volume":"17","author":"Bazarbashi","year":"2024","journal-title":"JACC Cardiovasc Interv"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2024.1504835\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T06:24:22Z","timestamp":1733120662000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2024.1504835\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,2]]},"references-count":14,"alternative-id":["10.3389\/fcvm.2024.1504835"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2024.1504835","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2024,12,2]]},"article-number":"1504835"}}