Giant right coronary artery aneurysm presenting as an STEMI
Jennifer Crabbe1, Azar Hussain1, Ajith Vijayan1
1Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK.
A rare giant right coronary artery aneurysm caused a heart attack in a 72-year-old man. Surgical repair and bypass grafting were successful, leading to an uncomplicated recovery.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Giant coronary artery aneurysms are rare and often asymptomatic.
- Coronary artery aneurysms can lead to serious complications like myocardial infarction.
Observation:
- A 72-year-old male presented with ST-elevated myocardial infarction.
- Imaging revealed a giant right coronary artery aneurysm (GCAA) containing fresh thrombus.
Findings:
- The thrombus within the GCAA occluded the right coronary artery (RCA).
- This occlusion precipitated the myocardial infarction, necessitating tertiary cardiac care.
Implications:
- Surgical resection of the GCAA and coronary artery bypass grafting (CABG) proved successful.
- This case underscores the importance of considering GCAA in myocardial infarction etiology and successful surgical management.
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