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Crabbe J, Hussain A, Vijayan A, John J, Loubani M. Giant right coronary artery aneurysm presenting as an STEMI. J Surg Case Rep 2019; 2019:rjz282. [PMID: 31700600 PMCID: PMC6827552 DOI: 10.1093/jscr/rjz282] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Accepted: 08/23/2019] [Indexed: 12/04/2022] Open
Abstract
Giant coronary artery aneurysms are an infrequent finding. They are typically discovered incidentally, rarely presenting with any symptoms. We present the case of a 72-year-old gentleman who presented with an ST elevated myocardial infarction. On investigation, the gentleman was found to have a giant right coronary artery aneurysm which was partially filled with a fresh thrombus. The thrombus occluded the RCA, triggering the myocardial infarction which leads to this gentleman’s presentation to a tertiary cardiac centre. The gentleman underwent a successful resection of the aneurysm and coronary artery bypass graft over the RCA lesion with a saphenous vein conduit. This gentleman has since been discharged from hospital after an uncomplicated postoperative course.
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Affiliation(s)
- Jennifer Crabbe
- Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK
| | - Azar Hussain
- Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK
| | - Ajith Vijayan
- Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK
| | - Joseph John
- Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK
| | - Mahmoud Loubani
- Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK
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