scholarly journals Lymph-node-first Kawasaki disease and giant coronary artery aneurysm

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-226897
Author(s):  
Bazlin Ramly
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Aneurysm ◽  
Acute Tonsillitis ◽  
Old Irish ◽  
Intravenous Antibiotics ◽  
Giant Coronary Artery Aneurysm ◽  
The Right

A 8-year-old Irish ethnicity girl presented with 3 days of fever with right-sided neck swelling which was first thought as acute tonsillitis with right-sided lymphadenitis. She was started on intravenous antibiotics. At day 7 of illness, she was diagnosed to have Kawasaki disease with clinical and biochemical evidence. Echocardiogram at day 9 of illness and subsequently CT cardiac angiogram performed revealed giant aneurysm at the right coronary artery with non-obstructing thrombus seen. The patient then commenced on clopidogrel and continued with a regular dose of aspirin. Due to the evidence of thrombus with a giant coronary aneurysm, she was also put on long-term warfarin therapy with regular monitoring of her international normalised ratio to be kept at the range of 2.0–3.0.

scholarly journals A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium

2021 ◽  
Author(s):  
Stefano Maffè ◽  
Paola Paffoni ◽  
Luca Bergamasco ◽  
Eleonora Prenna ◽  
Giulia Careri ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Atrium ◽  
Pacemaker Implantation ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Aneurysm ◽  
Right Atrial ◽  
Cardiac Device ◽  
Extrinsic Compression ◽  
The Right

Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac device. We present a case of difficult pacemaker implantation in a patient with 3 syncopes, first-degree AV block and complete left bundle branch block on electrocardiogram. The patient presented a giant aneurysm of the right coronary artery (85 x 90 mm), thrombosed, with right atrial compression. The pacemaker implantation was hampered by the difficulty of passing the lead through the compressed right atrium; indeed, only with   simultaneous echocardiographic and fluoroscopic guidance, was it possible to complete the procedure. This case demonstrates the utility of echocardiogram, in particular settings, in cardiac stimulation procedures.

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.

scholarly journals Giant right coronary artery aneurysm. Case Report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Benjamín Iván Hernández-Mejía ◽  
Edison Ricardo Espinoza-Saquicela
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Revascularization ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Moderate Hypothermia ◽  
Coronary Catheterization ◽  
Coronary Syndrome ◽  
Coronary Aneurysms ◽  
The Right

Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.

scholarly journals Giant coronary artery aneurysm with a thrombus secondary to Kawasaki disease

2008 ◽  
Vol 1 (1) ◽  
pp. 59 ◽  
Author(s):  
RobinJ Pinto ◽  
Bharat Dalvi ◽  
Sushant Patil ◽  
Salil Shirodkar
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Giant Coronary Artery Aneurysm

scholarly journals Case Report: Isolate Congenital Coronary Artery Fistula With Giant Artery Aneurysm in a Neonate

2021 ◽  
Vol 8 ◽  
Author(s):  
Haoyong Yuan ◽  
Zhongshi Wu ◽  
Qin Wu ◽  
Ting Lu ◽  
Yilun Tang ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angioplasty ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula ◽  
Postoperative Recovery ◽  
Aortic Sinus ◽  
Giant Coronary Artery Aneurysm ◽  
Congenital Coronary Artery Fistula ◽  
The Right

A rare case of neonatal congenital coronary artery, right ventricle fistula with giant coronary artery aneurysm formation, was reported. Computed tomography angiography demonstrated the dilated and tortuous tunnel arising from the right aortic sinus and traversing the epicardial surface before opening into the anterolateral aspect of the RV. Successful surgical repair was performed with a patch closure of the fistula and coronary angioplasty. The postoperative recovery was uneventful. Our experience of this rare congenital heart disease demonstrated that early surgical repair of coronary artery fistula and coronary angioplasty in the neonate can be performed safely. Further study is needed to seek the basis on this.

Giant coronary artery aneurysm in Kawasaki disease

Heart ◽  
2008 ◽  
Vol 95 (8) ◽  
pp. 645-645
Author(s):  
C O'Mahony ◽  
J M Walker ◽  
I Kayani
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Giant Coronary Artery Aneurysm
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