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Acute myocardial infarction and the five‐chambered heart
Author(s) -
Lardizabal Joel A.,
Javed Usman,
Ambrose John A.
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22793
Subject(s) - medicine , myocardial infarction , right coronary artery , cardiology , aneurysm , artery , coronary angiography , radiology , coronary artery aneurysm , angiography
The case of a patient presenting with acute inferior ST‐elevation myocardial infarction is described. Emergent coronary angiography of the right coronary artery revealed what appeared to be the abrupt drainage of contrast into a large, peculiar cavity or chamber. Echocardiography and cardiac computed tomography demonstrated a giant right coronary aneurysm in the right coronary artery that gave the impression of a “fifth heart chamber.” The patient underwent successful surgical resection of the aneurysm. Diagnostic and treatment approaches to giant coronary aneurysms are discussed. © 2011 Wiley‐Liss, Inc.