Giant coronary artery aneurysms: a case series and management recommendations
Although most published cases of giant CAAs involve elective surgical treatment, growing expertise shows that percutaneous intervention is a viable and increasingly promising alternative-particularly in younger patients or those at high surgical risk. Based on the limited available evidence and our own experience, we propose a practical management algorithm to help guide multidisciplinary decision-making. This emphasizes that percutaneous treatment should be actively considered as part of a tailored, patient-specific strategy in the management of giant CAAs.
Authors
- David R. Koolbergen (ORCID: https://orcid.org/0000-0002-1297-5716)
- Berto J. Bouma (ORCID: https://orcid.org/0000-0002-1433-9692)
- Robbert J. de Winter (ORCID: https://orcid.org/0000-0002-3694-405X)
- Daniëlle Robbers‐Visser
- Bart Straver
- Arja S. Vink (ORCID: https://orcid.org/0000-0001-6571-7967)
- Marcel A.M. Beijk (ORCID: https://orcid.org/0000-0002-7984-3021)
- Maik J D Grundeken (ORCID: https://orcid.org/0000-0002-4627-8556)
Institutions
- Leiden University Medical Center (NL)
- Academic Center for Dentistry Amsterdam (NL)
- Emma Kinderziekenhuis (NL)
- Amsterdam Neuroscience (NL)
- GGD Amsterdam (NL)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- European Heart Journal - Case Reports
- Published
- 2025-11-07
- DOI
- https://doi.org/10.1093/ehjcr/ytaf561
- Primary Topic
- Kawasaki Disease and Coronary Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00