[A Giant Right Coronary Artery Aneurysm:Report of a Case]
Tomoyuki Fujita1, Hiroshi Amano
1Department of Cardiovascular Surgery, Takase Clinic, Takasaki, Japan.
Insights
A rare case of a giant atherosclerotic aneurysm in the right coronary artery was found in a 49-year-old woman. Surgical intervention included ligation and bypass, highlighting individualized management for such rare coronary artery aneurysms.
Area of Science:
- Cardiology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Giant coronary artery aneurysms are uncommon cardiovascular conditions.
- Atherosclerosis is a common cause of vascular disease, but rarely leads to giant aneurysms.
Observation:
- A 49-year-old woman presented with an abnormal chest X-ray finding.
- Echocardiography identified a large cystic mass near the right atrium.
- Computed tomography confirmed a giant aneurysm of the right coronary artery, filled with thrombus.
Findings:
- The giant right coronary artery aneurysm was successfully excluded via proximal and distal ligation.
- Coronary artery bypass grafting was performed concurrently with aneurysm exclusion.
- The management strategy was tailored to the aneurysm's large size and specific clinical context.
Implications:
- This case highlights the importance of individualized management for giant coronary artery aneurysms.
- Surgical exclusion and bypass grafting can be effective treatment options.
- Early detection and prompt intervention are crucial for favorable outcomes in rare coronary artery pathologies.
Abstract:
We report the case of a 49-year-old woman with a giant atherosclerotic thrombus-filled aneurysm of the right coronary artery. She was referred to our hospital because of abnormal finding of the chest X-ray. Echocardiography revealed a large cystic mass adjacent to the right atrium and computed tomography revealed a giant aneurysm of middle segment of the right coronary artery. Based on the size of the aneurysm, the patient underwent exclusion of the aneurysm by proximal and distal ligation and coronary artery bypass surgery. Giant coronary artery aneurysm is rare, and the management should be individualized depending on size, location, and clinical context.
