A Large Mediastinal Mass in a Young Woman: A Case of Giant Coronary Artery Aneurysm

Spooner, Aaron J.; Berens, Pauline M.; Reardon, Michael J.; Ballmoos, Moritz C. Wyler von

doi:10.1016/j.athoracsur.2021.02.085

Cited by 1 publication

(1 citation statement)

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“…Due to its rarity and nonspecific signs, it is worth noting that giant coronary artery pseudoaneurysm originating from coronary artery fistula could manifest as anterior mediastinal mass and anterior chest wall lump, which warrants surgical intervention. Besides, coronary artery pseudoaneurysm might be complicated by bacterial infection and should be treated with antiinfectious drugs [ 8 , 9 ]. Even in China, infections caused by Brucella bacteria are rare.…”

Section: Discussionmentioning

confidence: 99%

Coronary pseudoaneurysm with a superficial mass and accompanying Brucella infection

Mi,

Zhang,

Wang

et al. 2024

J Cardiothorac Surg

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Background and aims To our knowledge, no previously reported clinical data of a coronary artery fistula forming a pseudoaneurysm and presenting as a anterior chest wall lump. We reported a rare case of Coronary pseudoaneurysm with a superficial mass and accompanying Brucella infection. The patient was successfully treated with surgery. Materials and methods The patient case data was extracted from hospital records. Results A 64-year-old male presented with a history of paroxysmal left-sided chest pain and painful anterior chest wall lump. Coronary computed tomography (CT) angiography revealed the RCA pseudoaneurysm that showed a peripherally calcified soft-tissue mass in the anterior mediastinum and communicated with the chest wall lump through intercostal spaces. The patient underwent the resection of chest lump and RCA pseudoaneurysm under cardiopulmonary bypass, along with a combined antimicrobial therapy. The patient was discharged successfully after the surgery. Discussion and conclusion We report this rare case and highlight the possible origin of the anterior mediastinal mass and anterior chest wall lump as a pseudoaneurysm formed by a coronary artery fistula.

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Section: Discussionmentioning

confidence: 99%