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CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 1  |  Page : 29-31

Giant right coronary artery aneurysm detected by transthoracic echocardiography


1 Division of Cardiology, “La Memoria” Hospital, Brescia, Italy
2 Division of Cardiac Surgery, “Papa Giovanni XXIII” Hospital, Bergamo, Italy

Correspondence Address:
Matteo Pernigo
Division of Cardiology, “La Memoria” Hospital, Via A. Gosa N. 74, 25085 Gavardo, Brescia
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_59_18

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Coronary artery aneurysms (CAAs) are rare findings caused by atherosclerosis in about 50% of cases. They are usually diagnosed using coronary angiography, cardiac computed tomography, or magnetic resonance imaging. In this report, we present a rare case of giant, isolated right CAA, detected by transthoracic echocardiography in an adult patient with unstable angina. Diameters of the aneurysm were 3.6 cm × 2.7 cm. Anterior-septal hypokinesia of the left ventricle was also noted. A comprehensive echocardiographic examination, including contrast study, excluded alternative diagnoses and supported the hypothesis of a coronary ectasia. The coronary angiography confirmed the diagnosis of giant coronary aneurysm and revealed a severe three-vessel disease. The patient was treated with cardiac surgery a few days later: two coronary artery bypass grafts and exclusion of the aneurysm by surgical legation were successfully performed.


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