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Giant calcified pseudoaneurysm of right coronary artery presenting as a right intra-atrial mass

Krishna Bhagwat1, Rajesh Jaria, Vijay Shetty

  • 1Department of Cardiac Surgery and Anesthesia, Cumballa Hill Hospital and Heart Institute, Mumbai, Maharshtra, India. krishna.bhagwat@mh.org.au

The Annals of Thoracic Surgery
|February 23, 2010
PubMed

Insights

A giant pseudoaneurysm of the right coronary artery mimicked an intracardiac mass. Diagnostic imaging confirmed the rare cardiac condition, aiding surgical planning.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Imaging

Background:

  • Pseudoaneurysms are rare but serious cardiovascular complications.
  • Right coronary artery pseudoaneurysms are exceptionally uncommon.
  • Intracardiac masses can arise from various pathologies, requiring accurate diagnosis.

Observation:

  • A case is presented where a giant right coronary artery pseudoaneurysm manifested as a right atrial intracardiac mass.
  • The patient presented with symptoms suggestive of an intracardiac mass.

Findings:

  • Preoperative diagnostic evaluations included two-dimensional echocardiography, computed tomographic (CT) scanning, magnetic resonance (MR) imaging, and cardiac catheterization.
  • These imaging modalities were crucial in diagnosing the pseudoaneurysm and assessing its anatomical origins and relationship to surrounding structures.

Implications:

  • Accurate preoperative diagnosis of rare cardiac conditions like pseudoaneurysms is vital for successful surgical intervention.
  • Multimodality imaging plays a critical role in characterizing complex cardiac masses and vascular abnormalities.
  • This case highlights the importance of considering vascular anomalies in the differential diagnosis of intracardiac masses.

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