Giant Right Coronary Artery Aneurysm Presenting as Syncope
Marios-Vasileios Koutroulos1, Georgios Chalikias1, Dimitrios Tziakas1
1Department of Cardiology, University General Hospital of Alexandroupolis, Alexandroupolis, GRC.
Cureus
|February 17, 2026
Summary
Giant coronary artery aneurysms (CAAs) are rare and dangerous. This case study shows successful surgical treatment for a large right coronary artery aneurysm, preventing severe complications.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Coronary artery aneurysms (CAAs) are uncommon vascular abnormalities.
- Giant aneurysms, particularly of the right coronary artery, are exceptionally rare.
- CAAs can lead to serious complications like myocardial infarction and sudden cardiac death.
Related Concept Videos
Coronary Artery Disease III: Clinical Manifestations
434
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
434
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
468
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
468
Aneurysm II: Clinical Manifestations and Diagnostic Studies
391
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
391
Coronary Circulation
7.7K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
7.7K
Aneurysm I: Introduction
449
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
449
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
604
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
604


