Giant coronary artery aneurysm presenting as a mediastinal mass
K M Channon1, S Wadsworth, Y Bashir
1Department of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, United Kingdom. keith.channon@cardiov.ox.ac.uk
The American Journal of Cardiology
|December 1, 1998
Insights
A giant atheromatous aneurysm of the right coronary artery was found in a 72-year-old man. This asymptomatic mediastinal mass was identified using advanced imaging techniques.
Area of Science:
- Cardiology
- Radiology
- Vascular Surgery
Background:
- Mediastinal masses can present asymptomatically.
- Atheromatous aneurysms are a significant cardiovascular concern.
Observation:
- A 72-year-old male patient presented with an asymptomatic mediastinal mass.
- Diagnostic imaging included computed tomography (CT), magnetic resonance imaging (MRI), and coronary arteriography.
Findings:
- The mediastinal mass was diagnosed as a giant atheromatous aneurysm of the right coronary artery.
- Advanced imaging modalities were crucial for accurate diagnosis.
Implications:
- This case highlights the importance of comprehensive imaging for unexpected cardiovascular findings.
- Giant coronary artery aneurysms require careful management to prevent complications.
Abstract:
An asymptomatic mediastinal mass in a 72-year-old man was imaged by computer tomography, magnetic resonance imaging, and coronary arteriography, revealing a giant atheromatous aneurysm of the right coronary artery.
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