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Nonatheosclerotic Giant Right Coronary Artery Aneurysm
  • +3
  • Lucas Cardoso,
  • Ricardo Dias,
  • Lucas Molinari Veloso da Silveira ,
  • Lea Demarchi,
  • Charles Mady,
  • Fábio Jatene
Lucas Cardoso
University of Sao Paulo Heart Institute
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Ricardo Dias
University of Sao Paulo Heart Institute
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Lucas Molinari Veloso da Silveira
University of Sao Paulo Heart Institute
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Lea Demarchi
University of Sao Paulo Heart Institute
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Charles Mady
University of Sao Paulo Heart Institute
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Fábio Jatene
University of Sao Paulo Heart Institute
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Abstract

We present an unusual case of a 67-year-old woman with an incidental finding of a cardiac mass on a chest-computed tomography. Coronary angiotomography confirmed the diagnosis of a right coronary artery aneurysm, with 5.7x5.7 cm. Patient underwent aneurysm resection and coronary artery bypass graft surgery, with subsequent histologic study suggestive of arteritis sequela. Patients with giant coronary artery aneurysms are at high risk of complications and must benefit from aneurysm exclusion. This is a rare condition that can also be part of a systemic inflammatory disease.