scholarly journals Giant Coronary Artery Aneurysms Involving More Than One Coronary Artery

2021 ◽  
Author(s):  
Matthew S Khouzam ◽  
Nayer Khouzam
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Aortic Aneurysm ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
St Segment ◽  
History Of ◽  
The Right

Abstract Background: Coronary artery aneurysms are rare findings in patients undergoing coronary angiography. The presence of multiple coronary artery aneurysms located in more than one coronary artery is even more uncommon. The pathophysiology of such aneurysms is unknown, but the majority are often due to atherosclerosis, congenital heart disease, or vasculitis. Case Presentation: We present a rare case of a 78-year-old female patient who presented with unstable angina and non-ST segment elevation myocardial infarction. On coronary angiography she was found to have three separate 1 cm saccular aneurysms involving the proximal left anterior descending coronary artery. The right coronary artery could not be visualized. Computed chest tomography revealed a 6.6 x 6.3 cm saccular aneurysm of the right coronary artery, and a 4.4 cm fusiform aneurysm of the ascending aorta. The patient gave no history of percutaneous coronary intervention or cardiac surgical procedures. She had a previous history of endovascular stenting of an abdominal aortic aneurysm. The sizable right coronary artery aneurysm showed extrinsic compression of both the right atrium and ventricle with right ventricular hypokinesis. Serological studies for vasculitis were all negative. Pathology of the aneurysm wall revealed calcific atherosclerosis without evidence of vasculitis. The patient underwent subtotal resection of the right coronary aneurysm with ligation of the proximal and distal ends of the right coronary artery and double bypass surgery to the left anterior descending and right posterior descending coronary arteries. Conclusion: The presence of multiple, large coronary artery aneurysms is very rare. Treatment can be challenging and should be individualized. Surgical treatment is recommended for giant coronary artery aneurysms to prevent potential complications. Keywords: coronary artery aneurysm, aortic aneurysm, atherosclerosis, non-ST segment 32 elevation myocardial infarction, case report

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.

Giant right coronary artery aneurysm in a patient presenting with ST-segment elevation myocardial infarction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Andie Hartanto Djohan ◽  
Ching-Hui Sia ◽  
Koo Hui Chan ◽  
Ping Chai ◽  
Huay Cheem Tan
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

scholarly journals Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
James Barr ◽  
Metesh Nalin Acharya ◽  
Antonios Kourliouros ◽  
Shahzad Gull Raja
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Saphenous Vein Graft ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Coronary Aneurysms ◽  
Right Ventricular Strain ◽  
The Right

Giant coronary artery aneurysms are rare clinical entities. We report the case of a 49-year-old man who presented with dyspnoea and exertional chest pain. Investigations confirmed an aneurysmal right coronary artery measuring 4 cm with a fistulous communication to the right atrium. Following right atriotomy, the fistula was oversewn and the aneurysmal right coronary artery ligated at its origin and at several points along its course. A saphenous vein graft was anastomosed to the posterior descending artery. Persistent ventricular fibrillation occurred upon chest closure, attributed to ischaemia following ligation of the aneurysmal coronary artery. Emergent resternotomy and internal defibrillation were successfully performed. The sternum was stented open to reduce right ventricular strain and closed the following day. The patient made an unremarkable recovery. We here address the technical challenges associated with surgical repair of right coronary aneurysms and the physiology and management of potential complications.

scholarly journals Giant right coronary artery aneurysm presenting as an STEMI

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Jennifer Crabbe ◽  
Azar Hussain ◽  
Ajith Vijayan ◽  
Joseph John ◽  
Mahmoud Loubani
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Artery Bypass Graft ◽  
Coronary Artery Aneurysms ◽  
Cardiac Centre

Abstract Giant coronary artery aneurysms are an infrequent finding. They are typically discovered incidentally, rarely presenting with any symptoms. We present the case of a 72-year-old gentleman who presented with an ST elevated myocardial infarction. On investigation, the gentleman was found to have a giant right coronary artery aneurysm which was partially filled with a fresh thrombus. The thrombus occluded the RCA, triggering the myocardial infarction which leads to this gentleman’s presentation to a tertiary cardiac centre. The gentleman underwent a successful resection of the aneurysm and coronary artery bypass graft over the RCA lesion with a saphenous vein conduit. This gentleman has since been discharged from hospital after an uncomplicated postoperative course.

scholarly journals Giant coronary artery aneurysms involving more than one coronary artery: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Matthew S Khouzam ◽  
Nayer Khouzam
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Previous History ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Extrinsic Compression ◽  
Aneurysm Wall ◽  
History Of ◽  
The Right

Abstract Background Coronary artery aneurysms are rare findings in patients undergoing coronary angiography. The presence of multiple coronary artery aneurysms located in more than one coronary artery is even more uncommon. The pathophysiology of such aneurysms is unknown, but the majority are often due to atherosclerosis, congenital heart disease, or vasculitis. Case presentation We present a rare case of a 78-year-old female patient who presented with unstable angina and non-ST segment elevation myocardial infarction. On coronary angiography, she was found to have three separate 1 cm saccular aneurysms involving the proximal left anterior descending coronary artery. The right coronary artery could not be visualized. Computed chest tomography revealed a 6.6 × 6.3 cm saccular aneurysm of the right coronary artery, and a 4.4 cm fusiform aneurysm of the ascending aorta. The patient gave no history of percutaneous coronary intervention or cardiac surgical procedures. She had a previous history of endovascular stenting of an abdominal aortic aneurysm. The sizable right coronary artery aneurysm showed extrinsic compression of both the right atrium and ventricle with right ventricular hypokinesis. Serological studies for vasculitis were all negative. Pathology of the aneurysm wall revealed calcific atherosclerosis without evidence of vasculitis. The patient underwent subtotal resection of the right coronary aneurysm with ligation of the proximal and distal ends of the right coronary artery and double bypass surgery to the left anterior descending and right posterior descending coronary arteries. Conclusion The presence of multiple, large coronary artery aneurysms is very rare. Treatment can be challenging and should be individualized. Surgical treatment is recommended for giant coronary artery aneurysms to prevent potential complications.

Congenital right coronary artery aneurysm causing myocardial infarction, pseudoaneurysm formation, and right atrial compression

2002 ◽  
Vol 15 (7) ◽  
pp. 736-738 ◽  
Author(s):  
Dawood Darbar ◽  
Philip J. Patel ◽  
Stephen M. Devine ◽  
Hartzell V. Schaff ◽  
Roger Click
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Right Atrial ◽  
Pseudoaneurysm Formation

scholarly journals Erratum to: Giant right coronary artery aneurysm complicated by acute myocardial infarction

2010 ◽  
Vol 58 (6) ◽  
pp. 308-308 ◽  
Author(s):  
Hitoshi Kanamitsu ◽  
Hidenori Yoshitaka ◽  
Masahiko Kuinose ◽  
Yoshimasa Tsushima
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm

RIGHT CORONARY ARTERY ANEURYSM PRESENTING AS A ST-ELEVATION MYOCARDIAL INFARCTION

2019 ◽  
Vol 73 (9) ◽  
pp. 2669
Author(s):  
Sean Kotkin ◽  
Lindsay Elbaum ◽  
Jason Sayanlar ◽  
Mazullah Kamran
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

Myocardial infarction revealed a giant right coronary artery aneurysm

2019 ◽  
Vol 34 (12) ◽  
pp. 1651-1652 ◽  
Author(s):  
Chloe Mimbimi ◽  
Jamil Hajj‐Chahine ◽  
Géraldine Allain ◽  
Christophe Jayle ◽  
Pierre Corbi
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm
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