Giant coronary artery aneurysm presenting as a right paracardial mass

Surgery of giant right coronary artery aneurysm complicated with coronary artery fistula to left ventricle

“…Coronary artery aneurysms (CAA) may exceed 5 cm, commonly involve the right coronary artery (RCA), may occur in close proximity to the left main trunk, and may result in pulmonary artery fistulae or compress the right atrium and present as a pericardial mass . We present images of a CAA of the RCA with a fistula to the left ventricle (LV).…”

“…main trunk, 4 and may result in pulmonary artery fistulae 5 or compress the right atrium and present as a pericardial mass. 6 We present images of a CAA of the RCA with a fistula to the left ventricle (LV). Figures 2A and 2B).…”

Giant coronary artery aneurysm with a coronary artery fistula to the pulmonary artery

“…Coronary artery aneurysms (CAA) may arise form the left main coronary artery and all three major branches are at risk for rupture, may fistulize into the pulmonary artery (PA), or present as a pericardial mass. [1][2][3][4][5][6][7] We present images of a giant left CAA with a coronary artery fistula (CAF) to the PA. (Figure 1). An intravascular ultrasound showed that the CAA arose from the left anterior descending (LAD) artery.…”

Left main coronary artery aneurysm presenting with unstable angina

“…Coronary artery aneurysms may present with angina, involve both the right and left coronary arteries and the left main trunk, and fistulize into the pulmonary artery, or present as a pericardial mass. [1][2][3][4][5][6][7] We present the images of a giant left coronary artery aneurysm extending from the left main trunk and extending into the left anterior descending (LAD) presenting with unstable angina.…”