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Giant right coronary artery aneurysm complicated by acute myocardial infarction

Hitoshi Kanamitsu1, Hidenori Yoshitaka, Masahiko Kuinose

  • 1Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Marunouchi 2-1-10, Okayama, 700-0823, Japan. hitoshi_k_1020@hotmail.com

General Thoracic and Cardiovascular Surgery
|April 20, 2010
PubMed

Insights

Giant coronary artery aneurysms are rare but can cause acute myocardial infarction. Surgical resection is a viable option for these large aneurysms, even in asymptomatic patients, if surgical risks are low.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary artery aneurysms are uncommon and often asymptomatic.
  • Giant coronary artery aneurysms pose a risk of complications such as myocardial infarction.

Observation:

  • A 26-year-old male presented with sudden chest pain, indicative of myocardial infarction.
  • Emergency coronary angiography revealed a giant, thrombosis-occluded aneurysm in the mid-right coronary artery.

Findings:

  • The giant coronary artery aneurysm was successfully resected.
  • The patient underwent end-to-end anastomosis of the right coronary artery.

Implications:

  • Surgical intervention is recommended for giant coronary artery aneurysms, even if asymptomatic, when surgical risk is low.
  • This case highlights the successful surgical management of a complex coronary artery aneurysm with acute myocardial infarction.

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