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A Rare Combination of Giant Right Coronary Artery Aneurysm

Imran Haider1, Promporn Suksaranjit1, Brent Wilson1

  • 1Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, United States.

North American Journal of Medical Sciences
|August 11, 2015
PubMed

Insights

Giant coronary artery aneurysms (CAA) can rarely present as infective endocarditis. This case highlights a large CAA with fistulous drainage into the right ventricle, causing chronic symptoms and requiring early surgical intervention.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Giant coronary artery aneurysms (CAA) are rare, with an incidence of 0.02% in adults.
  • The right coronary artery is the most common site for CAA, often associated with fistula formation.

Observation:

  • A case of an 87-year-old man with a large CAA and fistulous drainage into the right ventricle (RV) is presented.
  • The patient experienced chronic weakness and lethargy attributed to the condition and RV free wall vegetation.

Findings:

  • Giant CAA with fistulous drainage to the RV can mimic infective endocarditis.
  • The presence of RV free wall vegetation in this case contributed to the patient's symptoms.

Implications:

  • Early detection and surgical management of giant CAA with fistulous drainage are crucial for patient benefit.
  • This condition necessitates a high index of suspicion for potential endocarditis-like presentations.
Abstract

Keywords:
Coronary artery aneurysmCoronary artery fistulaGiant coronary artery aneurysmInfective endocarditisRight ventricular fistula

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