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No Ordinary Coronary: A Case Series of Two Large Coronary Artery Aneuryms Found on Chest X-Ray

Aleksandra Degtyar1, Thomas Cole Baker1, Mohan Punja1

  • 1Emergency Department, Wellstar Kennestone Regional Medical Center, Marietta, GA.

The Journal of Emergency Medicine
|October 25, 2022
PubMed

Insights

Post-procedural coronary aneurysms, though rare on chest x-rays, require emergency physician awareness. Prompt recognition of these potentially life-threatening conditions is crucial for timely surgical consultation and improved patient outcomes.

Area of Science:

  • Cardiology
  • Radiology
  • Emergency Medicine

Background:

  • Post-procedural coronary aneurysms are associated with significant morbidity and mortality.
  • These aneurysms are typically diagnosed via ultrasound or CT, but can be visible on chest x-ray if sufficiently large.

Purpose of the Study:

  • To highlight the importance of recognizing coronary artery aneurysms on chest x-ray.
  • To emphasize the need for emergency physicians to identify post-procedural complications.

Main Methods:

  • Presentation of two case studies involving coronary artery aneurysms visualized on chest x-ray.
  • Review of diagnostic imaging findings and clinical presentations.

Main Results:

  • Two cases demonstrated coronary artery aneurysms on chest x-ray: one saphenous vein graft aneurysm and one left anterior descending artery pseudoaneurysm post-catheterization.
  • Chest x-ray can reveal these aneurysms, necessitating careful radiologic interpretation.

Conclusions:

  • Emergency physicians must be vigilant for coronary artery aneurysms on chest x-ray as a potential post-procedural complication.
  • Early detection and surgical consultation are vital for managing this life-threatening condition.
Abstract

Keywords:
chest painchest x-ray studycoronary artery aneurysmpseudoaneurysmradiology

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