Open AccessNonatherosclerotic Giant Right Coronary Artery Aneurysm
Author(s) -
Lucas F. Cardoso,
Ricardo Ribeiro Dias,
Léa Maria Macruz Ferreira Demarchi,
Lucas Molinari Veloso da Silveira,
Charles Mady,
Fábio Biscegli Jatene
Publication year - 2022
Publication title -
brazilian journal of cardiovascular surgery
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.324
H-Index - 26
eISSN - 1678-9741
pISSN - 0102-7638
DOI - 10.21470/1678-9741-2020-0649
Subject(s) - medicine , aneurysm , right coronary artery , coronary artery aneurysm , radiology , cardiology , artery , coronary artery disease , coronary arteries , surgery , coronary angiography , kawasaki disease , myocardial infarction
We present an unusual case of a 67-year-old woman with an incidental finding of a cardiac mass on a chest computed tomography. Coronary angiotomography confirmed the diagnosis of right coronary artery aneurysm, with 5.7×5.7 cm. The patient underwent aneurysm resection and coronary bypass surgery, with subsequent histologic study suggestive of arteritis sequelae. Giant coronary artery aneurysms have a high risk of complications and aneurysm exclusion must be beneficial. This is a rare condition that can also be part of a systemic inflammatory disease.