A Rare Combination of Giant Right Coronary Artery Aneurysm

CONTEXT: Giant coronary artery aneurysm (CAA) in adults is a rare clinical entity with an estimated incidence of 0.02%. CAA is commonly found in the right coronary artery with significant number of cases associated with fistula formation. CASE REPORT: We describe a rare case of an 87 year-old man wi...

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Detalles Bibliográficos
Autores principales: Haider, Imran, Suksaranjit, Promporn, Wilson, Brent, McGann, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525394/
https://www.ncbi.nlm.nih.gov/pubmed/26258083
http://dx.doi.org/10.4103/1947-2714.157491
Descripción
Sumario:CONTEXT: Giant coronary artery aneurysm (CAA) in adults is a rare clinical entity with an estimated incidence of 0.02%. CAA is commonly found in the right coronary artery with significant number of cases associated with fistula formation. CASE REPORT: We describe a rare case of an 87 year-old man with large CAA with fistulous drainage into the right ventricle (RV) along with RV free wall vegetation as a cause of chronic weakness and lethargy. CONCLUSION: Giant CAA with fistulous drainage to the RV could present in the form of infective endocarditis. Early detection and surgical treatment would provide a significant benefit to these patients.

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