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Multimodality Imaging for Giant Left Circumflex Branch Aneurysm Rupturing Into the Superior Vena Cava-Right Atrial
Wei Yan1, Wenjun Deng2, Li Duan3
1Department of Ultrasound, Wuhan Asia General Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.
Insights
A rare giant coronary artery aneurysm ruptured into the heart, causing severe valve issues. Multimodality imaging guided successful single-stage surgical repair of this high-risk condition.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Imaging
Background:
- Giant coronary artery aneurysms (GCAAs) are exceptionally rare and pose significant risks.
- Coronary artery fistulas, especially giant ones, are associated with high morbidity and mortality.
- Rupture into cardiac chambers or great vessels is a life-threatening complication.
Abstract:
Giant coronary artery aneurysms with fistulas are extremely rare and high-risk. This manuscript presents a rare case of a giant left circumflex (LCX) branch aneurysm rupturing into the superior vena cava-right atrial (SVC-RA) junction, accompanied by severe valvular regurgitation. Transesophageal echocardiography visualized the aneurysm and turbulent shunt flow, cardiac computed tomography angiography (CCTA) precisely delineated the anatomical details, and 3D CT reconstruction clarified spatial relationships. This multimodality imaging approach was pivotal in guiding successful single-stage surgical intervention. Trial Registration: This article is a case report and does not describe a clinical trial; therefore, trial registration was not required.
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