Giant coronary artery aneurysm mimicking a compressive cardiac tumor Imaging features and operative strategy.
Giant atheromatous coronary aneurysms mimicking a cardiac tumor remain exceptional. We report the case of a patient who experienced a severe inferior myocardial infarction related to a giant thrombosed coronary aneurysm masquerading a cardiac tumor and compressing right cardiac cavities with mechanical detrimental consequences on tricuspid, mitral and aortic valvular competence. The contribution of imaging was essential to assess diagnosis, understand the physiopathogeny of myocardial and valvular consequences and plan the optimal surgical strategy.
Grandmougin
Daniel
D
Department of Cardiovascular Surgery, Hôpital Nord, Saint-Etienne, 42 055 France. d.grandmougin@tiscali.fr
Croisille
Pierre
P
Robin
Christophe
C
Péoc'h
Michel
M
Barral
Xavier
X
D003323:Coronary Aneurysm / Q000150:complications* / Q000473:pathology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D006338:Heart Neoplasms / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*