Brazilian Journal of Cardiovascular Surgery (May 2022)

Nonatherosclerotic Giant Right Coronary Artery Aneurysm

  • Lucas Figueredo Cardoso,
  • Ricardo Ribeiro Dias,
  • Lea Maria Macruz Ferreira Demarchi,
  • Lucas Molinari Veloso da Silveira,
  • Charles Mady,
  • Fabio B Jatene

DOI
https://doi.org/10.21470/1678-9741-2020-0649
Journal volume & issue
Vol. 37, no. 2
pp. 271 – 272

Abstract

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Abstract 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.

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