Right ventricular myocardial infarction and late cardiac tamponade due to right coronary artery aneurysm--a case report.
Coronary artery aneurysm is a relatively rare disease, which may cause angina, myocardial infarction, or sudden unexpected death due to thrombosis, embolization or rupture. This report describes a case of a 46 year old male who suffered an inferior myocardial infarction with right ventricular involvement, third degree atrioventricular block, cardiogenic shock and late cardiac tamponade, all caused by a right coronary artery aneurysm. He was successfully treated with emergency coronary artery bypass grafting. A review of the literature is also given to emphasize the importance of prompt recognition and correct management of the coronary artery aneurysm.
Koike
R
R
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
Oku
T
T
Satoh
H
H
Sawada
Y
Y
Suma
H
H
Takeuchi
A
A
Kato
Y
Y
Kita
Y
Y
Hirota
Y
Y
Kawamura
K
K
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001026:Coronary Artery Bypass; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012422:Rupture, Spontaneous; D013997:Time Factors