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.
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
R
R
Koike
T
T
Oku
H
H
Satoh
Y
Y
Sawada
H
H
Suma
A
A
Takeuchi
Y
Y
Kato
Y
Y
Kita
Y
Y
Hirota
K
K
Kawamura
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