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Published on: September 8, 2023
Multimodality Imaging of a Giant Right Coronary Artery Aneurysm
Liane A Arcinas1, Weiang Yan2, Davinder S Jassal3
1Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Insights
A giant coronary artery aneurysm, initially detected as a cardiac mass, was diagnosed using advanced imaging techniques. Multimodality cardiovascular imaging proved crucial for accurate characterization of this rare coronary artery aneurysm.
Area of Science:
- Cardiovascular Medicine
- Diagnostic Imaging
Background:
- Coronary artery aneurysms are rare vascular abnormalities.
- Giant coronary artery aneurysms pose diagnostic challenges.
Observation:
- A 54-year-old woman presented with a right cardiac mass identified during coronary angiography.
- The mass was evaluated using echocardiography, computed tomography, and cardiac magnetic resonance imaging.
Findings:
- Multimodality imaging characterized the mass as a thrombosed giant right coronary artery aneurysm.
- Pathological examination confirmed the diagnosis of a giant coronary artery aneurysm.
Implications:
- This case highlights the importance of multimodality cardiovascular imaging in diagnosing complex coronary artery pathologies.
- Accurate diagnosis and characterization are essential for managing giant coronary artery aneurysms.
Abstract:
We describe a case of a 54-year-old woman who had a right cardiac mass found on coronary angiography. Echocardiography, computed tomography, and cardiac magnetic resonance imaging characterized it as a thrombosed giant right coronary artery aneurysm. This was confirmed on pathology. We present the role of multimodality cardiovascular imaging in the diagnosis and characterization of a giant coronary artery aneurysm.
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