Aneurysms of the coronary artery

A Huge Coronary Aneurysm Resulting from a Coronary Artery-to-Left Ventricle Fistula.

“…Other etiologic factors are congenital, mycotic, dissecting, luetic, and systemic (7) and Osier-Weber-Rendu disease (8)]. Daoud et al (2) reported that 16 of 89 coronary aneurysmal cases examined demonstrated a coronary fistula as a secondary etiologic factor. Almost all reports described the aneurysm as less than several centimeters in diameter, but there are a few reports of huge coronary aneurysms (9-1 1).…”

“…Coronary artery aneurysms are uncommon (1), and almost all coronary artery aneurysms measure less than a few centimeters (2). Congenital coronary fistulas communicating with the left ventricle are very rare (3).…”

Noninvasive Visualization of Right Coronary Artery Aneurysms

“…Several extensive articles have reviewed the history, clinical presentation, literature and recommendations for the treatment o f coronary artery fistulas and aneurysms (1)(2)(3)(4)(5)(6)(7)(8). In case 1, the coronary aneurysm and fistula were possi bly congenital since a murmur was present since childhood and anatomically the fistula resembled a type 1 abnormality described by Ogden and Stansel (5).…”

“…In the past decade diagnoses o f these conditions have become more commonplace, and virtually hundreds o f examples o f both abnormalities have been reported (1)(2)(3)(4)(5)(6)(7)(8). Advances in noninvasive diag nostic techniques such as M-mode and cross-sectional echocardiography now offer the opportunity in certain instances to diagnose gross abnormalities o f the coronary arteries prior to invasive procedures.…”

A Giant Thrombosed Right Coronary Artery Aneurysm Presenting as an Obstructing Left Atrial Mass.

“…Lipid and hyalin intimal deposits, disruption of the tunica media, focal calcification and cholesterol crystalline residues on histological examination signal atherosclerotic aneurysmal disease [2]. Other acquired causes include trauma, connective tissue disorders such as Marfan syndrome and Ehlers Danlos Syndrome and inflammatory arteritides such as Kawasaki disease, Takayasu arteritis and Behcet's disease [3]. The most commonly affected artery is the RCA.…”