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A rare case of asymptomatic right coronary artery ectasia associated with giant aneurysm

Takanori Hishikawa1, Takeki Ohashi1, Masao Tadakoshi1

  • 1Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Oxford Medical Case Reports
|March 23, 2022
PubMed

Insights

A rare case of giant coronary artery ectasia with an aneurysm in an asymptomatic woman was identified. Atherosclerosis was the cause, treated with surgery and anticoagulants.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary artery ectasia and aneurysms are rare vascular conditions.
  • Atherosclerosis is a common cause of cardiovascular disease.

Observation:

  • A 69-year-old woman presented with ischemic electrocardiogram changes.
  • Coronary computed tomography angiography revealed right coronary artery ectasia and a giant distal aneurysm.
  • The patient was asymptomatic with no traditional risk factors.

Findings:

  • Giant coronary artery aneurysm secondary to atherosclerosis.
  • Surgical intervention was performed due to aneurysm size and rupture risk.
  • Histopathology confirmed atherosclerotic degeneration.

Implications:

  • Highlights the importance of investigating coronary artery abnormalities even in asymptomatic individuals.
  • Demonstrates surgical management of peripheral coronary artery aneurysms.
  • Emphasizes anticoagulation therapy post-surgery for thrombus prevention.

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