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A 15-cm aneurysm of the right coronary artery presenting as a pericardial cyst
Nathan Burnside1, Onyekwelu C Nzewi, Pushpinder Singh Sidhu
1Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK. nburnside@doctors.net.uk
Abstract:
We report an unusual case of a giant right coronary artery aneurysm, measuring 15 cm in diameter, in a 76-year old woman. The aneurysm was initially identified when the patient was investigated for signs of congestive cardiac failure with a computed tomography scan of her thorax; at this stage, the lesion was misdiagnosed as a large pericardial cyst. The aneurysm was successfully excised at surgery and her heavily diseased right coronary artery was secured with a saphenous vein graft.
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