A covered rupture of a giant right coronary artery aneurysm in the right atrium wall

2014 ◽  
Vol 174 (3) ◽  
pp. e120-e121 ◽  
Author(s):  
Carlo Banfi ◽  
André Vincentelli ◽  
Pierre-Vladimir Ennezat ◽  
Marco Midulla ◽  
Merie Alibrahim ◽  
...  
2018 ◽  
pp. bcr-2018-226197
Author(s):  
Masaki Kodaira ◽  
Takahito Itoh ◽  
Kiyoshi Koizumi ◽  
Yohei Numasawa

Patients with a coronary aneurysm alone do not generally exhibit continuous murmurs; however, murmurs may be detected in the presence of a fistula. A 57-year-old woman with chest pain was referred to us with a suspected diagnosis of a ruptured sinus of Valsalva aneurysm owing to the presence of a continuous murmur that was detected on physical examination. However, CT revealed a giant right coronary artery aneurysm draining into the right atrium. Consequently, surgery was performed. This case highlights the importance of implementing multiple imaging modalities for adequate differential diagnoses of patients presenting with continuous murmurs.


2019 ◽  
Vol 12 (7) ◽  
pp. e231666 ◽  
Author(s):  
Mohammad Omair ◽  
Nicholas Roubos ◽  
Jennifer Johns ◽  
Piyush Srivastava

2004 ◽  
Vol 20 (6) ◽  
pp. 414-417
Author(s):  
Alexander Viduetsky ◽  
Robert Goodman ◽  
Afsine Emrani ◽  
Mohammad Gharavi ◽  
Ronald Grusd

2013 ◽  
Vol 24 (3) ◽  
pp. 528-530 ◽  
Author(s):  
Patrícia Vaz Silva ◽  
Joana Castro Marinho ◽  
António Pires

AbstractCoronary artery fistulae are uncommon but may be haemodynamically significant, being an incidental finding in 0.1–0.2% of coronary angiograms. Even rarer is the association between fistulae and non-atherosclerotic coronary artery aneurysms. They most frequently originate in the right coronary artery, and the right cardiac chambers are the most common draining chambers. Most children are asymptomatic, whereas those older than 20 years may present with signs of congestive heart failure, infective endocarditis, myocardial ischaemia, or aneurysm rupture. Management is either surgical or via percutaneous means. We report the case of a 5-year-old child referred for assessment of an asymptomatic cardiac murmur. The echocardiographic evaluation showed an enlarged right atrium, a fenestrated atrial septal defect, and a giant right coronary artery aneurysm with a fistulous tract that appeared to drain directly into the right atrium. Computed angiocardiac tomography and cardiac catherisation confirmed the presence of a large right coronary fistula originating from the right coronary aneurysm draining into the right atrium. The patient underwent surgical ligation of the fistula and the post-operative course has been uneventful. He is currently on double antiaggregation therapy.


2020 ◽  
Vol 28 ◽  
pp. 1-3
Author(s):  
Alexandre Bonfim ◽  
Ronald Souza ◽  
Sérgio Beraldo ◽  
Frederico Nunes ◽  
Daniel Beraldo

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.


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