Giant coronary aneurysm presenting as a cardiac mass on transthoracic echocardiogram. (20th March 2014)

• Record Type: Journal Article
• Authors: Mutha, Vivek; Asrar ul Haq, Muhammad; Anavekar, Nagesh S; Barlis, Peter
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-03-20
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-202536
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 69-year-old man with a history of ischaemic heart disease and previous stent implantation in the right coronary artery (RCA) was found to have a large well-encapsulated mass attached to the right atrium on a routine transthoracic echocardiogram. Subsequent investigations including transoesophageal echocardiography and CT coronary angiogram suggested an RCA aneurysm formation in relation to the prior stented segment, further confirming on coronary angiogram a large ectatic vessel with a giant aneurysm measuring 2.4×2.7 cm. Giant coronary artery aneurysms are rare and here we present interesting images of a case initially picked up on transthoracic echocardiography.