Giant right coronary artery aneurysm presenting as an STEMI

Crabbe, J. G. S.; Hussain, Azar; Vijayan, Ajith; John, Joseph; Loubani, Mahmoud

doi:10.1093/jscr/rjz282

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The right coronary artery is most commonly affected, followed by the left anterior descending and the circum ex artery (1). Presentation is commonly incidental, but can also manifest as an ischemic cardiac event or a cardiac mass (3,4,5).…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of a Giant Right Coronary Aneurysm Presenting As An Inferior ST Elevation Myocardial Infarction

Wiesner

Schmidt

Roitstein

2021

Preprint

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Background: A coronary artery aneurysm (CAA) is an uncommon finding, which can have several different cardiac presentations including an ischemic event or cardiac mass. If ruptured, a CAA can create a surgical emergency. Case Presentation: A 79-year-old white male presented for evaluation of weakness. His ECG suggested acute inferior myocardial ischemia. Coronary angiography revealed a totally occluded mid portion of the right coronary artery (RCA) with suggestion of an aneurysmal segment. This was confirmed by computed tomographic imaging. After consideration of all options, the patient elected to underdo surgical intervention. The patient underwent removal of thrombotic material and a single vessel coronary bypass graft to the posterior descending artery. He had an uneventful post-operative course and recovered well. Conclusions: A CAA can be a surgical emergency. In the following case, additional imaging and time allowed the surgical team to plan for surgical intervention. There is no uniform management for CAA, however, surgical intervention is often the strategy of choice, the specifics of which are dictated by each individual case.

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Section: Introductionmentioning

confidence: 99%

Surgical Management of a Giant Right Coronary Aneurysm Presenting As An Inferior ST Elevation Myocardial Infarction

Wiesner

Schmidt

Roitstein

2021

Preprint

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Clinically isolated aortitis presenting as inferior ST-elevation myocardial infarction due to an unruptured sinus of Valsalva aneurysm: a rare and forgotten cause of acute coronary syndrome in a young patient with no evidence of systemic vasculitis

et al. 2021

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A 21-year-old man presented with chest pain, diaphoresis and dyspnoea. Electrocardiogram (ECG) showed inferior ST-elevation myocardial infarction. Troponin I was positive. Patient underwent left heart catheterisation, which revealed normal epicardial coronary arteries except for right coronary artery which could not be engaged. CT coronary angiogram was done, which revealed large right sinus of Valsalva aneurysm giving rise to a pinched out right coronary artery. Patient underwent composite graft replacement of aortic valve, aortic root and ascending aorta along with a saphenous vein graft to right coronary artery. He was discharged in stable condition on fifth postoperative day. Biopsy of the aneurysmal tissue was suggestive of vasculitic aetiology. There was no evidence of systemic vasculitis and Magnetic Resonance Angiography (MRA) screen was negative for Takayasu’s arteritis. Our patient was, hence, diagnosed with clinically isolated aortitis leading to ST elevation myocardial infarction due to an unruptured sinus of Valsalva aneurysm.

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Giant right coronary artery aneurysm presenting as an STEMI

Cited by 2 publications

References 6 publications

Surgical Management of a Giant Right Coronary Aneurysm Presenting As An Inferior ST Elevation Myocardial Infarction

Surgical Management of a Giant Right Coronary Aneurysm Presenting As An Inferior ST Elevation Myocardial Infarction

Clinically isolated aortitis presenting as inferior ST-elevation myocardial infarction due to an unruptured sinus of Valsalva aneurysm: a rare and forgotten cause of acute coronary syndrome in a young patient with no evidence of systemic vasculitis

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