Haider I, Suksaranjit P, Wilson B, McGann C. A Rare Combination of Giant Right Coronary Artery Aneurysm.
NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2015;
7:334-6. [PMID:
26258083 PMCID:
PMC4525394 DOI:
10.4103/1947-2714.157491]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Context:
Giant coronary artery aneurysm (CAA) in adults is a rare clinical entity with an estimated incidence of 0.02%. CAA is commonly found in the right coronary artery with significant number of cases associated with fistula formation.
Case Report:
We describe a rare case of an 87 year-old man with large CAA with fistulous drainage into the right ventricle (RV) along with RV free wall vegetation as a cause of chronic weakness and lethargy.
Conclusion:
Giant CAA with fistulous drainage to the RV could present in the form of infective endocarditis. Early detection and surgical treatment would provide a significant benefit to these patients.
Collapse