Key result
Resection of a giant right coronary artery aneurysm and CABG with a saphenous vein conduit was successfully performed in a 72-year-old man presenting with STEMI, leading to an uncomplicated recovery.
Why the study?
Giant coronary artery aneurysms are infrequent, typically discovered incidentally, and rarely present with symptoms.
Case Report (n=1)
Giant right coronary artery aneurysms can rarely present as STEMI due to thrombotic occlusion and can be successfully managed with surgical resection and CABG.
Supports feasibility of resection and CABG for giant RCA aneurysm STEMI; leaves open need for larger studies on management.
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.
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Crabbe et al. (2019) conducted a case report in Giant right coronary artery aneurysm presenting as STEMI (n=1). Resection of the aneurysm and coronary artery bypass graft over the RCA lesion with a saphenous vein conduit was evaluated on Clinical outcome. Resection of a giant right coronary artery aneurysm and CABG with a saphenous vein conduit was successfully performed in a 72-year-old man presenting with STEMI, leading to an uncomplicated recovery.
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