Ruptured right coronary artery aneurysm presenting as a myocardial mass.
Rupture of a coronary artery aneurysm may result in a contained hematoma and an intramyocardial mass. We present a case of a contained coronary artery aneurysm rupture presenting as a mass in the right ventricle. The mass was suspected in a preoperative transthoracic echocardiogram and identified at the time of elective coronary artery bypass surgery. We discuss the pathophysiology, clinical presentation, diagnostic features, and management of this uncommon clinical presentation.
Berrizbeitia
Luis D
LD
Department of Cardiothoracic Surgery, Hahnemann University Hospital, MCP-Hahnemann University School of Medicine, Philadelphia, Pennsylvania, USA. ldberriz@ctsx.net
Samuels
Louis E
LE
D017542:Aneurysm, Ruptured / Q000175:diagnosis*; D003323:Coronary Aneurysm / Q000175:diagnosis*; D017548:Echocardiography, Transesophageal; D006331:Heart Diseases / Q000175:diagnosis*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000175:diagnosis*