Echocardiographic diagnosis of giant right coronary aneurysm with right ventricular fistula

Pernigo, Matteo; Berti, Marco; Dinatolo, Elisabetta; Cozza, Fabiana; Botti, Paolo

doi:10.1093/ehjci/jeac135

Cited by 1 publication

(1 citation statement)

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“…Symptoms can develop in the presence of obstructive atherosclerotic disease, thrombus, compression of adjacent structures, rupture and pericardial tamponade and stress-induced myocardial ischaemia secondary to microvascular dysfunction 7 8. Diagnosis is usually made with coronary angiography, but intravascular ultrasound and coronary computed tomography can also be helpful 9…”

Section: Discussionmentioning

confidence: 99%

Giant right coronary artery aneurysm in a dominant right system

Ali,

Khan,

Farooq

et al. 2023

BMJ Case Rep

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Giant coronary artery aneurysms (GCAAs) are unusual and extremely rare. Due to their rarity, there is a lack of data on managing GCAAs. A man in his 70s who presented with worsening shortness of breath and bilateral lower extremity oedema was found to have non-ST elevation myocardial infarction. Coronary angiography showed a tortuous Shepherd’s crook right coronary artery with ectasia and a gigantic 4.5×4 cm saccular aneurysm in the mid-right coronary artery with limited flow to the distal vasculature. He subsequently underwent aneurysmal clipping and excision with coronary artery bypass grafting. GCAAs are usually silent and diagnosed incidentally but can also present with variable cardiac symptoms. Treatment options include medical management, percutaneous coronary angioplasty and surgery. As per limited available literature, surgical resection has shown favourable outcomes, especially in symptomatic GCAAs. The patient reported significant symptomatic improvement on the follow-up office visit.

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Section: Discussionmentioning

confidence: 99%