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[Giant Right Coronary Artery Aneurysm Causing Acute Myocardial Infarction;Report of a Case]

Akinori Tamenishi1, Yasuyuki Fujimoto, Chikao Teramoto

  • 1Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 30, 2019
PubMed

Insights

A giant right coronary artery aneurysm caused a heart attack in a 59-year-old man. Surgical repair, including aneurysm removal and bypass grafting, was necessary to prevent life-threatening complications.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary artery aneurysms, particularly giant ones, are rare vascular abnormalities.
  • These aneurysms can lead to severe cardiac events, including myocardial infarction.

Observation:

  • A 59-year-old male presented with syncope and was diagnosed with acute myocardial infarction.
  • Coronary angiography revealed a giant aneurysm in the mid-right coronary artery.

Findings:

  • The patient underwent successful aneurysmectomy and coronary artery bypass grafting to the posterior descending artery.
  • Giant coronary artery aneurysms pose a risk of spontaneous rupture or fistula formation.

Implications:

  • Prompt surgical intervention is crucial for managing giant coronary artery aneurysms.
  • Surgical repair can prevent potentially fatal cardiac complications and improve patient outcomes.

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