Aortic pressures within a giant right coronary artery aneurysm

J Cardiothorac Surg. 2024 Dec 20;19(1):673. doi: 10.1186/s13019-024-03140-9.

Abstract

Background: Giant coronary artery aneurysms are rare conditions with potentially devastating consequences. We report a case of the largest documented giant right coronary artery (RCA) aneurysm to date.

Case presentation: A 57-year-old male patient visited our outpatient clinic for abdominal pain and exertional dyspnea. Computed tomography identified a 10.2 × 9.8 cm RCA aneurysm with RCA pressure waves were similar to aortic pressures. After discussion by the cardiac team, elective resection with ligation of the proximal and distal ends of the RCA was performed due to the presence of adequate collaterals.

Conclusion: We highlight the challenges related to the management of patients presenting with giant coronary artery aneurysms. Optimal management strategies and outcomes for such rare cardiovascular conditions implies the need for standardised management guidelines.

Keywords: Coronary artery aneurysm; Coronary vessel anomaly; Dysnea; Pericardial cyst; Pressure wave.

Publication types

  • Case Reports

MeSH terms

  • Arterial Pressure / physiology
  • Coronary Aneurysm* / diagnostic imaging
  • Coronary Aneurysm* / physiopathology
  • Coronary Aneurysm* / surgery
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / physiopathology
  • Coronary Vessels / surgery
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed