A rare case of asymptomatic right coronary artery ectasia associated with giant aneurysm.


Journal

Oxford medical case reports
ISSN: 2053-8855
Titre abrégé: Oxf Med Case Reports
Pays: England
ID NLM: 101642070

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 07 11 2021
revised: 28 12 2021
accepted: 11 01 2022
entrez: 23 3 2022
pubmed: 24 3 2022
medline: 24 3 2022
Statut: epublish

Résumé

A rare case of giant coronary artery ectasia associated with coronary artery aneurysm was recognized. A 69-year-old woman presented with an ischemic electrocardiogram changes during a medical check-up. Coronary computed tomography angiography showed right coronary artery (RCA) ectasia associated with a giant aneurysm originating from the distal RCA. She was asymptomatic and exhibited no risk factors, including Kawasaki disease, hypertension, diabetes mellitus or family history. The patient underwent surgery for giant coronary aneurysms to prevent rupture. The aneurysm was on the peripheral side of the right coronary artery; hence, coronary artery bypass was not performed. The patient's postoperative course was uneventful. Histopathological examination of the aneurysm revealed degeneration due to atherosclerosis. She was prescribed warfarin and aspirin for thrombus prevention.

Identifiants

pubmed: 35316997
doi: 10.1093/omcr/omac023
pii: omac023
pmc: PMC8931810
doi:

Types de publication

Case Reports

Langues

eng

Pagination

omac023

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press.

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Auteurs

Takanori Hishikawa (T)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Takeki Ohashi (T)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Masao Tadakoshi (M)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Yuji Kamikawa (Y)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Soichiro Kageyama (S)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Akinori Kojima (A)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Kaoru Hioki (K)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Hirotaka Yamauchi (H)

Cardiovascular surgery, Nagoya Tokushukai General Hospital, Aichi, Japan.

Classifications MeSH