Thrombosed giant right coronary artery aneurysm

Authors

  • Sergio Hernandez Jimenez Cardiology Department. Quironsalud Madrid University Hospital, Madrid. Spain
  • Javier Urmeneta Ulloa Cardiology Department. Quironsalud Madrid University Hospital, Madrid. Spain
  • Perla Cicero Department of Anesthesia. Ospedale San Raffaele, Milan. Italy
  • Jose Angel Cabrera Rodríguez Cardiology Department. Quironsalud Madrid University Hospital, Madrid. Spain

DOI:

https://doi.org/10.37615/retic.v6n1a12

Keywords:

giant coronary aneurysm, transthoracic echocardiography, cardiac masses

Abstract

Giant coronary aneurysms are an extremely rare entity (affecting approximately 0.02% of the general population). Although the most frequent cause is atherosclerosis, their aetiology is quite diverse (including vasculitis, and connective tissue diseases). Clinically are frequently asymptomatic, being diagnosed as an incidental finding while studying other conditions. However, in uncommon cases, they can also pose serious risk, presenting as an acute coronary syndrome, as a pericardial tamponade, or even as a sudden death. Due to the lack of evidence, their management is still controversial, and is crucial to individualise the treatment to patient and aneurysm characteristics.

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References

Swaye PS, Fisher LD, Litwin P, Viggnola PA, Judkins MP, Kemp HG, et al. Aneurysmal coronary artery disease. Circulation 1983; 67:134-8. doi: https://doi.org/10.1161/01.cir.67.1.134 DOI: https://doi.org/10.1161/01.CIR.67.1.134

Gottesfeld S, Makaryus AN, Singh B, Kaplan B, Stephen B, Steinberg B, et al. Thrombosed right coronary artery aneurysm presenting as a myocardial mass. J Am Soc Echocardiogr. 2004;17(12):1319 –22. doi: https://doi.org/10.1016/j.echo.2004.07.004

Pereira E, Melica B, Primo J, Mota JC, Ferreira N, PM G, et al. Diffuse aneurysmal and obstructive coronary artery disease: a do-not-intervene patient. Rev Port Cardiol. 2013;32(7 –8):629 –32. 3. doi: https://doi.org/10.1016/j.repc.2012.11.009 DOI: https://doi.org/10.1016/j.repc.2012.11.009

Robertson T, Fisher L. Prognostic significance of coronary artery aneurysm and ectasia in the coronary artery surgery study (CASS) registry. In: Shulman ST, editor. Kawasaki disease: proceedings of the second international Kawasaki symposium. New York: AR Liss; 1987. p. 324-39.

Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis.1997;40(1):77 –84. doi: https://doi.org/10.4330/wjc.v13.i9.446 DOI: https://doi.org/10.1016/S0033-0620(97)80024-2

Li D, Wu Q, Sun L, Song Y, Wang W, Pan S, Luo G, Liu Y, Qi Z, Tao T, Sun JZ, Hu S. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg. 2005 Sep;130(3):817-21. doi: https://doi.org/10.1016/j.jtcvs.2005.04.004 DOI: https://doi.org/10.1016/j.jtcvs.2005.04.004

Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S, Wortham DC. Giant coronary artery aneurysms: review and update. Tex Heart Inst J. 2014 Dec 1;41(6):603-8. doi: https://doi.org/10.14503/THIJ-13-3896 DOI: https://doi.org/10.14503/THIJ-13-3896

Gottesfeld S, Makaryus AN, Singh B, Kaplan B, Stephen B, Steinberg B, Graver LM, Rosen SE. Thrombosed right coronary artery aneurysm presenting as a myocardial mass. J Am Soc Echocardiogr. 2004 Dec;17(12):1319-22. doi: https://doi.org/10.1016/j.echo.2004.07.004 DOI: https://doi.org/10.1016/j.echo.2004.07.004

Teng P, Ni C, Sun Q, Ni Y. Giant right coronary artery aneurysm mimicking a right intra-ventricular mass: a case report. J Cardiothorac Surg. 2020 Jan 13;15(1): 17. doi: https://doi.org/10.1186/s13019-020-1054-0 DOI: https://doi.org/10.1186/s13019-020-1054-0

Published

2023-04-30

How to Cite

1.
Hernandez Jimenez S, Urmeneta Ulloa J, Cicero P, Cabrera Rodríguez J Ángel. Thrombosed giant right coronary artery aneurysm. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2023 Apr. 30 [cited 2024 Nov. 24];6(1):55-7. Available from: https://imagenretic.org/RevEcocarPract/article/view/565

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