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Published on: September 8, 2023
Giant Right Coronary Artery Aneurysm: A Case Report
Iqra Saghir1, Zunera Moeen1, Ghanwa Saghir1
1Internal Medicine, King Edward Medical University / Mayo Hospital, Lahore, PAK.
Giant coronary artery aneurysms are rare but can be asymptomatic. This case highlights a large coronary artery aneurysm that went undiagnosed for years, challenging typical presentations.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Coronary artery aneurysms (CAAs) are dilatations of the coronary arteries.
- Giant coronary artery aneurysms (GCAAs) are defined as CAAs exceeding 40 mm in diameter.
- While CAAs can be symptomatic or asymptomatic, GCAAs are rarely asymptomatic.
Observation:
- This report details a rare case of a giant coronary artery aneurysm.
- The GCAA remained asymptomatic and undiagnosed for an extended period.
- This presentation is highly unusual for a GCAA.
Findings:
- The case demonstrates that GCAAs can present without symptoms, contrary to common expectations.
- Diagnostic challenges may arise due to the asymptomatic nature of some GCAAs.
- This underscores the importance of considering atypical presentations in cardiovascular diagnostics.
Implications:
- Clinicians should maintain a high index of suspicion for GCAAs even in asymptomatic individuals.
- Further research may be needed to understand the factors contributing to asymptomatic GCAAs.
- This case contributes to the literature on the varied clinical spectrum of coronary artery aneurysms.
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