Rare Case of Giant Non-Thrombosed Coronary Artery Aneurysm at the Left Anterior Descending Coronary Artery

Yutaka Matsuhiro, Koji Yasumoto, Keisuke Yasumura, Akihiro Tanaka, Naoki Mori, Daisuke Nakamura, Masamichi Yano, Yasuyuki Egami, Ryu Shutta, Jun Tanouchi, Masami Nishino
2018 Circulation Journal  
Contrast-enhanced multi-slice computed tomography showed a 7-cm non-thrombosed gCCA located near the mid-portion of the left anterior descending coronary artery (LAD), and right coronary artery fistula draining into the pulmonary artery (Figure A,B) . Coronary angiography showed a gCCA originating from a branch of the LAD (Figure C) , with a fistulous connection to the pulmonary G iant coronary artery aneurysms (gCAA) >5 cm are very rare (0.02%). 1-3 An 80-year-old woman with chest pain on
more » ... t presented to her private clinic and was admitted to hospital for chest X-ray. There was no elevation of serum creatine kinase or troponin T. Transthoracic echocardiogram showed a 68×71-mm large cystic mass containing low echoes adjacent to the left ventricle.
doi:10.1253/circj.cj-17-1028 pmid:29459496 fatcat:rchpwn45nbet3hgkjqdnqnae2e