Key result
Surgery successfully treats a giant RCA aneurysm in an asymptomatic patient.
Why the study?
A rare case of giant coronary artery ectasia associated with a giant aneurysm was recognized in an asymptomatic patient without typical risk factors.
Case Report (n=1)
This case highlights the successful surgical management of a rare, asymptomatic giant right coronary artery aneurysm caused by atherosclerosis.
Answers are grounded in this paper and cite their sources.
Supports individualized surgical decisions in select asymptomatic cases; extends sparse case literature but leaves optimal management open.
A rare case of giant coronary artery ectasia associated with coronary artery aneurysm was recognized. A 69-year-old woman presented with an ischemic electrocardiogram changes during a medical check-up. Coronary computed tomography angiography showed right coronary artery (RCA) ectasia associated with a giant aneurysm originating from the distal RCA. She was asymptomatic and exhibited no risk factors, including Kawasaki disease, hypertension, diabetes mellitus or family history. The patient underwent surgery for giant coronary aneurysms to prevent rupture. The aneurysm was on the peripheral side of the right coronary artery; hence, coronary artery bypass was not performed. The patient's postoperative course was uneventful. Histopathological examination of the aneurysm revealed degeneration due to atherosclerosis. She was prescribed warfarin and aspirin for thrombus prevention.
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Hishikawa et al. (2022) conducted a case report in Right coronary artery ectasia associated with giant aneurysm (n=1). Surgery for giant coronary aneurysm was evaluated on Postoperative course. Surgery for a giant right coronary artery aneurysm in an asymptomatic 69-year-old woman was successfully performed with an uneventful postoperative course.
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