Giant right coronary artery aneurysm presenting as an STEMI. Issue 11 (4th November 2019)

• Record Type: Journal Article
• Authors: Crabbe, Jennifer; Hussain, Azar; Vijayan, Ajith; John, Joseph; Loubani, Mahmoud
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 11(2019)
• Publication Date: 2019-11-04
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz282
• Languages: English
• ISSNs: 2042-8812

Abstract

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.