A case of giant right coronary artery aneurysm due to IgG4-related disease

2019 ◽  
Vol 68 (12) ◽  
pp. 1453-1456 ◽  
Author(s):  
Sho Matsuyama ◽  
Takehiro Kishigami ◽  
Masato Sakamoto
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Related Disease ◽  
Igg4 Related Disease

scholarly journals Coil embolization to giant LAD and LCX coronary artery aneurysm after failed coronary aneurysmal repair in IgG4 related disease: A case report

2021 ◽  
Author(s):  
Panupong Pota ◽  
Pannipa Suwannasom ◽  
Surin Woragidpoonpol ◽  
Tanop Srisuwan
Keyword(s):  
Coronary Artery ◽  
Cardiac Tamponade ◽  
Coil Embolization ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Vascular Involvement ◽  
Heart Team ◽  
Related Disease ◽  
Igg4 Related Disease

Abstract Background IgG4-related disease (IgG4-RD) is a chronic fibroinflammatory condition with multiple-organ involvement. Rupture of coronary artery aneurysms (CAAs) in IgG4-RD is rare. Case summary A 65-year-old man with IgG4-RD has suffered from recurrent episodes of arterial aneurysms since 2003. He presented with chest pain and hypotension caused by localized cardiac tamponade at right ventricle free wall due to the rupture of coronary artery aneurysm(CAA) of left anterior descending artery (LAD). An urgent LAD aneurysm repaired with bovine pericardium and obliterated aneurysmal sac with cryo-acrylate glue was done together with coronary artery bypass grafting (CABG) using saphenous vein graft(SVG) to LAD and SVG to posterior descending artery. Three-month after surgery, the follow-up coronary computed tomography angiography (CCTA) revealed a growing in size of LAD and the second obtuse marginal(OM) branch aneurysm. Heart team discussion agreed to schedule the patient for double coil embolization to LAD and second OM aneurysm under intravascular ultrasound guidance. Both aneurysms were successfully obliterated with vascular coils. Two-week follow-up coronary angiogram showed complete occlusion of LAD aneurysm and near occlusion of the second OM branch aneurysm. Discussion CAA rupture is a life-threatening condition that required prompt detection and treatments. In IgG4-RD patients, acute cardiac tamponade suggesting the rupture of CAA. Coil embolization is an alternative treatment in patients who suffered from recurrent CAA after surgical repair. Serial CCTA is important for early detection of aneurysm in IgG4-RD patients who had vascular involvement.

Giant right coronary artery aneurysm

2020 ◽  
Vol 28 ◽  
pp. 1-3
Author(s):  
Alexandre Bonfim ◽  
Ronald Souza ◽  
Sérgio Beraldo ◽  
Frederico Nunes ◽  
Daniel Beraldo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Clinical Course ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Artery Aneurysms ◽  
History Of ◽  
Artery Disease ◽  
The Right

Right coronary artery aneurysms are rare and may result from severe coronary disease, with few cases described in the literature. Mortality is high, and therapy is still controversial. We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion. During the evaluation, a giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course.

Right coronary artery aneurysm: Possible relation with obesity?

2008 ◽  
Vol 128 (1) ◽  
pp. 112-113
Author(s):  
Ersan Tatli ◽  
Mutlu Buyuklu ◽  
Baris Onal ◽  
Mesih Yel ◽  
Turhan Kurum
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm

scholarly journals Expanding giant right coronary artery aneurysm: An acute need for new management strategies

Heart Views ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 13 ◽  
Author(s):  
Vishal Sehgal ◽  
Ankur Sethi ◽  
Anurag Bajaj ◽  
Sukhminder JitSingh Bajwa ◽  
SamirB Pancholy
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Management Strategies ◽  
Artery Aneurysm

Unusual Right Coronary Artery Runoff with Right and Left Main Coronary Artery Aneurysm

Angiology ◽  
1996 ◽  
Vol 47 (6) ◽  
pp. 615-619
Author(s):  
Akihisa Tomaru ◽  
Makoto Kudou ◽  
Jun Baba ◽  
Yoshihisa Goto ◽  
Shigeru Miura ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Artery Aneurysm ◽  
Left Main
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