Aortic pressures within a giant right coronary artery aneurysm

Abstract Background Giant coronary artery aneurysms are rare conditions with potentially devastating consequences. We report a case of the largest documented giant right coronary artery (RCA) aneurysm to date. Case presentation A 57-year-old male patient visited our outpatient clinic for abdominal p...

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Main Authors: Azriel Osherov, Enrique Gallego-Colon, Ella Shaviv, Xavier Piltz, Mohammad Kakoush, Yanai Ben-Gal
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03140-9
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author Azriel Osherov
Enrique Gallego-Colon
Ella Shaviv
Xavier Piltz
Mohammad Kakoush
Yanai Ben-Gal
author_facet Azriel Osherov
Enrique Gallego-Colon
Ella Shaviv
Xavier Piltz
Mohammad Kakoush
Yanai Ben-Gal
author_sort Azriel Osherov
collection DOAJ
description Abstract Background Giant coronary artery aneurysms are rare conditions with potentially devastating consequences. We report a case of the largest documented giant right coronary artery (RCA) aneurysm to date. Case presentation A 57-year-old male patient visited our outpatient clinic for abdominal pain and exertional dyspnea. Computed tomography identified a 10.2 × 9.8 cm RCA aneurysm with RCA pressure waves were similar to aortic pressures. After discussion by the cardiac team, elective resection with ligation of the proximal and distal ends of the RCA was performed due to the presence of adequate collaterals. Conclusion We highlight the challenges related to the management of patients presenting with giant coronary artery aneurysms. Optimal management strategies and outcomes for such rare cardiovascular conditions implies the need for standardised management guidelines.
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publishDate 2024-12-01
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series Journal of Cardiothoracic Surgery
spelling doaj-art-019beb30468e4a74874df6afb7deb76a2025-08-20T01:57:12ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911510.1186/s13019-024-03140-9Aortic pressures within a giant right coronary artery aneurysmAzriel Osherov0Enrique Gallego-Colon1Ella Shaviv2Xavier Piltz3Mohammad Kakoush4Yanai Ben-Gal5Department of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevDepartment of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevDepartment of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevDepartment of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevDepartment of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevDepartment of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the NegevAbstract Background Giant coronary artery aneurysms are rare conditions with potentially devastating consequences. We report a case of the largest documented giant right coronary artery (RCA) aneurysm to date. Case presentation A 57-year-old male patient visited our outpatient clinic for abdominal pain and exertional dyspnea. Computed tomography identified a 10.2 × 9.8 cm RCA aneurysm with RCA pressure waves were similar to aortic pressures. After discussion by the cardiac team, elective resection with ligation of the proximal and distal ends of the RCA was performed due to the presence of adequate collaterals. Conclusion We highlight the challenges related to the management of patients presenting with giant coronary artery aneurysms. Optimal management strategies and outcomes for such rare cardiovascular conditions implies the need for standardised management guidelines.https://doi.org/10.1186/s13019-024-03140-9Coronary artery aneurysmPericardial cystDysneaCoronary vessel anomalyPressure wave
spellingShingle Azriel Osherov
Enrique Gallego-Colon
Ella Shaviv
Xavier Piltz
Mohammad Kakoush
Yanai Ben-Gal
Aortic pressures within a giant right coronary artery aneurysm
Journal of Cardiothoracic Surgery
Coronary artery aneurysm
Pericardial cyst
Dysnea
Coronary vessel anomaly
Pressure wave
title Aortic pressures within a giant right coronary artery aneurysm
title_full Aortic pressures within a giant right coronary artery aneurysm
title_fullStr Aortic pressures within a giant right coronary artery aneurysm
title_full_unstemmed Aortic pressures within a giant right coronary artery aneurysm
title_short Aortic pressures within a giant right coronary artery aneurysm
title_sort aortic pressures within a giant right coronary artery aneurysm
topic Coronary artery aneurysm
Pericardial cyst
Dysnea
Coronary vessel anomaly
Pressure wave
url https://doi.org/10.1186/s13019-024-03140-9
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