{"id":6972,"date":"2012-04-22T09:29:45","date_gmt":"2012-04-22T09:29:45","guid":{"rendered":"http:\/\/cardiophile.org\/?p=6972"},"modified":"2012-04-22T09:29:45","modified_gmt":"2012-04-22T09:29:45","slug":"coronary-aneurysms","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/","title":{"rendered":"Coronary aneurysms"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/jInwhnVbfPA\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Coronary aneurysms<\/span><\/h2>\n<p><strong>Coronary aneurysms<\/strong> can be defined as localized dilatation of the coronary artery of more than 1.5 times (some suggest higher ratio) compared to the adjacent coronary segment. Etiology of coronary aneurysms could be atheroscleroitc, congenital (age less than 30 years), Kawasaki disease, connective tissue diseases like polyarteritis nodosa, Ehlers-Danlos syndrome and Marfan syndrome, arteritis like syphilitic or Takayasu\u2019s and iatrogenic following drug eluting stent (DES) implantation or vascular trauma. Potential problems of coronary aneurysms could be due to associated atherosclerosis which is seen in 60-70%, distal embolization of thrombus formed due to the abnormal flow pattern in the aneurysm or due to the chance of rupture leading to cardiac tamponade.<\/p>\n<p><strong>Treatment of coronary aneurysm<\/strong> are certainly needed if there is associated coronary artery disease or if they cause acute coronary syndrome. Covered stents, multiple stents, stent assisted coil embolization (stenting of parent vessel to isolate the aneurysm followed by delivery of micro coils within the aneurysm) and anticoagulation are the various strategies. Aneurysms of left main are difficult to tackle surgically and may need reverse cardioplegia. It may be necessary to divide the pulmonary artery to reach the left main in some cases. Exclusion of aneurysm, ligation of the vessel and putting a graft beyond the point of ligation is a surgical option. Covered stents are another option which can be placed percutaneously for treatment of coronary aneurysms. Covered stents are usually have polytetrafluoroethylene (PTFE) covering. Another method of producing covered stent is to suture a saphenous vein to the stent. But then it becomes quite bulky and difficult to cross the lesion.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.<\/p>\n","protected":false},"author":1,"featured_media":39245,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,22],"tags":[],"class_list":["post-6972","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-cardiac-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coronary aneurysms<\/title>\n<meta name=\"description\" content=\"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coronary aneurysms\" \/>\n<meta property=\"og:description\" content=\"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2012-04-22T09:29:45+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Coronary aneurysms\",\"datePublished\":\"2012-04-22T09:29:45+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/\"},\"wordCount\":266,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Angiography and Interventions\",\"Cardiac Surgery\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/\",\"name\":\"Coronary aneurysms\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2012-04-22T09:29:45+00:00\",\"description\":\"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/coronary-aneurysms\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Coronary aneurysms\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Coronary aneurysms","description":"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/","og_locale":"en_US","og_type":"article","og_title":"Coronary aneurysms","og_description":"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.","og_url":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2012-04-22T09:29:45+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Coronary aneurysms","datePublished":"2012-04-22T09:29:45+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/"},"wordCount":266,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#primaryimage"},"thumbnailUrl":"","articleSection":["Angiography and Interventions","Cardiac Surgery"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/","url":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/","name":"Coronary aneurysms","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#primaryimage"},"thumbnailUrl":"","datePublished":"2012-04-22T09:29:45+00:00","description":"Coronary aneurysms can be defined as localized dilatation of the coronary artery of more than 1.5 times compared to the adjacent coronary segment.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/coronary-aneurysms\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Coronary aneurysms"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/6972","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=6972"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/6972\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=6972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=6972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=6972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}