Giant right coronary artery aneurysm

Case contributed by Dr Maxime St-Amant

Presentation

Acute chest pain. Past history of AVR.

Patient Data

Age: 65
Gender: Male

Chest x-ray

Modality: X-ray

Ovalar linear calcifications are seen on the lateral chest x-ray, a lot harder to see on the PA. Those look like parietal calcifications; CT-scan is recommended to evaluate the calcifications further.

CT chest

Modality: CT

CT-scan shows an aneurysm which seem to originate from the proximal right coronary artery. The aneurysm collar is larger than it would be expected in a pseudoaneurysm. Coronary angiography could be done to further confirm the diagnosis.

Coronary angiogram

Modality: DSA (angiography)

Coronary angiography was performed to confirm the diagnosis. Canulation of the right coronary artery's ostium confirms opacification of a giant coronary artery aneurysm.

Case Discussion

Coronary artery aneurysms are rare in adults. Smaller aneurysms can be encountered with Kawasaki disease. The aneurysm was resected.

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Case Information

rID: 20697
Case created: 8th Dec 2012
Last edited: 11th Oct 2015
System: Cardiac
Inclusion in quiz mode: Included

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