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Congenital coronary aneurysm resulting in myocardial infarction: MR imaging findings

Jan Fritz1, João A C Lima, Duke E Cameron

  • 1Russell H Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance
|January 14, 2005
PubMed

Insights

A right coronary artery aneurysm led to a blood clot and myocardial infarction in a 33-year-old male. Magnetic resonance imaging revealed the aneurysm and associated thromboembolism.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Myocardial infarction (MI) can arise from various cardiac pathologies.
  • Coronary artery aneurysms are uncommon but significant vascular abnormalities.

Observation:

  • A 33-year-old male presented with symptoms of myocardial infarction.
  • Diagnostic imaging revealed a right atrial mass and a right coronary artery aneurysm.

Findings:

  • Magnetic resonance (MR) imaging identified a right coronary artery aneurysm.
  • Evidence of thromboembolism formation within the aneurysm was observed.
  • The thromboembolism was the likely cause of the inferior myocardial infarction.

Implications:

  • This case highlights the importance of advanced imaging in diagnosing complex cardiac conditions.
  • Understanding the link between coronary artery aneurysms and thromboembolism is crucial for patient management.
  • Coronary artery aneurysms require careful evaluation to prevent ischemic events like myocardial infarction.

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