Nonatherosclerotic Giant Right Coronary Artery Aneurysm

AUTOR(ES)

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

FONTE

Brazilian Journal of Cardiovascular Surgery

DATA DE PUBLICAÇÃO

2022

RESUMO

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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