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Spontaneous rupture of a coronary artery with false aneurysm formation. Successful surgical repair

J K Frischknecht, D Shander, T L Kurt

    Chest
    |July 1, 1977
    PubMed

    Insights

    A patient experienced a spontaneous rupture of the right coronary artery due to atherosclerosis, forming a false aneurysm. Surgical intervention successfully repaired the condition through revascularization and ligation.

    Area of Science:

    • Cardiovascular Medicine
    • Interventional Cardiology
    • Surgical Cardiology

    Background:

    • Diffuse atherosclerotic coronary arterial disease is a common condition.
    • Coronary artery aneurysms, though rare, can arise from various pathologies.
    • Spontaneous arterial rupture is a critical and life-threatening event.

    Observation:

    • A patient presented with symptoms indicative of coronary artery compromise.
    • Angiographic study revealed a spontaneous rupture of the proximal right coronary artery.
    • A false aneurysm had formed at the site of the rupture.

    Findings:

    • The patient had diffuse atherosclerotic coronary arterial disease.
    • A spontaneous rupture of the proximal right coronary artery was identified.
    • A false aneurysm was confirmed via angiographic assessment.

    Implications:

    • Prompt diagnosis and intervention are crucial for managing spontaneous coronary artery rupture.
    • Surgical revascularization and aneurysm ligation can be effective treatment strategies.
    • This case highlights the importance of comprehensive cardiovascular assessment in patients with advanced atherosclerosis.

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