A rare case: A giant right coronary artery aneurysm mimicking a paracardiac mass

Abstract

Giant coronary artery aneurysms are extremely rare pathologies that can be confused with paracardiac and mediastinal masses, which are usually diagnosed incidentally. In this case report, an 83-year-old patient with a 70x35 mm thrombosed right coronary artery aneurysm misdiagnosed as a paracardiac mass will be discussed in light of the literature.

Keywords

• Coronary
• Giant
• Paracardiac

Kaynakça

1. 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Progress in cardiovascular diseases. 1997 Jul 1;40(1):77-84.
2. 2. Jarcho S. Bougon on coronary aneurysm (1812). The American journal of cardiology. 1969 Oct 1;24(4):551-3
3. 3. Cohen P, O'Gara PT. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiology in review. 2008 Nov 1;16(6):301-4
4. 4. Priscilla W, Shahabuddin S, Allen N. Nonsurgical Management of a Giant Coronary Artery Aneurysm. Cureus. 2017;9(7).
5. 5. Antoniadis AP, Chatzizisis YS, Giannoglou GD. Pathogenetic mechanisms of coronary ectasia. International journal of cardiology. 2008 Nov 28;130(3):335-43.
6. 6. Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S, Wortham DC. Giant coronary artery aneurysms: review and update. Texas Heart Institute Journal. 2014 Dec;41(6):603-8.
7. 7. Reyhanoğlu H, Özcan K, Efe ED. Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report. J Surg Med. 2020 Nov 1;4(11):1086-8.
8. 8. Abou Sherif S, Ozden Tok O, Taşköylü Ö, Goktekin O, Kilic ID. Coronary artery aneurysms: a review of the epidemiology, pathophysiology, diagnosis, and treatment. Frontiers in cardiovascular medicine. 2017 May 5;4:24.

9. 9. Mariscalco G, Mantovani V, Ferrarese S, Leva C, Orrù A, Sala A. Coronary artery aneurysm: management and association with abdominal aortic aneurysm. Cardiovascular Pathology. 2006 Mar 1;15(2):100-4.
10. 10. Baman TS, Cole JH, Devireddy CM, Sperling LS. Risk factors and outcomes in patients with coronary artery aneurysms. The American journal of cardiology. 2004 Jun 15;93(12):1549-51.
11. 11. Demopoulos VP, Olympios CD, Fakiolas CN, Pissimissis EG, Economides NM, Adamopoulou E, Foussas SG, Cokkinos DV. The natural history of aneurysmal coronary artery disease. Heart. 1997 Aug 1;78(2):136-41.
12. 12. Jha NK, Ouda HZ, Khan JA, Eising GP, Augustin N. Giant right coronary artery aneurysm-case report and literature review. Journal of Cardiothoracic Surgery. 2009 Dec;4(1):1-4.
13. 13. Jeudy J, White CS, Kligerman SJ, Killam JL, Burke AP, Sechrist JW, Shah AB, Hossain R, Frazier AA. Spectrum of coronary artery aneurysms: from the radiologic pathology archives. Radiographics. 2018 Jan;38(1):11-36.
14. 14. Mata KM, Fernandes CR, Floriano EM, Martins AP, Rossi MA, Ramos SG. Coronary artery aneurysms: an update. Novel strategies in ischemic heart disease. Rijeka, Croatia: InTech. 2012 Feb 29:381-404.
15. 15. Zeb M, McKenzie DB, Scott PA, Talwar S. Treatment of coronary aneurysms with covered stents: a review with illustrated case. The Journal of invasive cardiology. 2012 Sep 1;24(9):465-9.l.