Giant right coronary artery aneurysms presenting as a cardiac mass

Wang, Huanhuan; Yin, Zhang; Wang, Hongyue; Yuan, Jinqing

doi:10.1097/md.0000000000004924

Cited by 9 publications

(10 citation statements)

References 20 publications

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“…Although the term ‘Giant’ coronary aneurysm is still controversial and it is usually defined as any coronary aneurysm more than 8 mm in maximum diameter. 3 Coronary artery aneurysms are a rare entity and reported incidence is between 1.5% and 5%. 4 The incidence of giant coronary aneurysms is unknown as only a few cases are reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Shah

Alqahtani

Alshahrani

et al. 2022

European Heart Journal - Case Reports

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Background The term “Giant” coronary aneurysm is usually defined as any coronary aneurysm more than 8 mm in maximum diameter. The familial form of retinal arterial macroaneurysms (FRAM) is a rare autosomal recessive disease that is described by arterial aneurysm formation in the retina. Here, we report an association of coronary artery aneurysms with FRAM in a young male who presented with the acute coronary syndrome. Case summary 31 years old male, smoker presented to the emergency department with atypical chest pain for five days. Blood investigations showed raised troponin enzymes. Review of his past medical history revealed decreased vision in the left eye, starting at the age of 10 years which progressed to blindness. He was diagnosed to have IGFBP7 mutation which causes eye manifestations in the form of familial retinal arterial macroaneurysms (FRAP). Fundoscopy showed bleeding retinal artery macroaneurysms in the right retina and sub-retinal gliosis suggesting laser treatment for the prior retinal arterial aneurysm. Coronary angiogram revealed a large aneurysm in the proximal segment of the left anterior descending artery. Cardiac CT scan with contrast was done which showed a 2.28 x 1.64 cm coronary aneurysm at the proximal segment of the left anterior descending (LAD) artery with peripheral calcification with a narrow neck of about 0.6 cm. After the heart team discussion, he underwent surgical ligation of the LAD and coronary aneurysm with implantation of the saphenous venous graft (SVG) to distal LAD. Discussion Coronary artery aneurysms can be a part of multisystem diseases like familial retinal macroaneurysm (FRAM). The management should be individualized based on symptoms at presentation, size of coronary aneurysms, and local expertise.

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Section: Discussionmentioning

confidence: 99%

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Shah

Alqahtani

Alshahrani

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…Especially for patients with normal distal vessels, coronary artery bypass grafting is the preferred treatment [1,2] . According to the summary of all cases with CAA calci cation and stenosis [2,10,12,13,22,[26][27][28][29][30][31][32][33][34][35][36][37][38] (Table 1), surgical treatment based on CABG can effectively solve the problem of CAA calci cation and stenosis. Unfortunately, all reports have no long-term follow-up results.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Sun

Zhang

et al. 2020

Preprint

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Coronary artery aneurysm (CAA) has been increasingly reported in recent years. The symptoms are related to myocardial ischemia, such as angina pectoris, myocardial infarction, sudden death and congestive heart failure. This report describes a case of a giant CAA with calcification and stenosis involving two coronary arteries, and the patient underwent a complete arterialized coronary artery bypass graft. After 3 months of follow-up, it was found that the radial artery graft was occluded. In this report, all cases related to CAA with calcification and stenosis are summarized. According to the data, the following conclusions can be drawn: CAA seem to be more common in men; Kawasaki disease is likely to be a causative factor in some patients with asymptomatic CAA involving calcification and stenosis; CABG is a feasible treatment option for CAA with calcification and stenosis.

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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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Giant right coronary artery aneurysms presenting as a cardiac mass

Abstract: Supplemental Digital Content is available in the text

Cited by 9 publications

References 20 publications

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Giant coronary artery aneurysm associated with familial retinal artery macroaneurysm: a case report

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

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

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