title: Ruptured giant right coronary artery aneurysm percutaneously plugged.
abstract: The endovascular management of a patient with a ruptured giant coronary aneurysm presenting with chest pain followed by anterior chest wall ecchymosis and shock is described. The inflow to a large, acutely leaking right coronary aneurysm was successfully sealed with the Amplatzer Vascular Plug device. The patient was estimated to be at very high risk for surgical intervention. The use of this device to seal an acutely leaking coronary aneurysm has not been previously described.
authors.affiliation: Interventional Cardiovascular Section, Cardiovascular Division, University of Alabama at Birmigham, Birmingham, AL 35294-0012, USA. whillegass@cardmail.dom.uab.edu
authors.forename: William B
authors.initials: WB
authors.lastname: Hillegass
authors.forename: Himanshu
authors.initials: H
authors.lastname: Gupta
authors.forename: Raghunath
authors.initials: R
authors.lastname: Katragadda
authors.forename: Johnnie
authors.initials: J
authors.lastname: Knoblauch
authors.forename: Cecil
authors.initials: C
authors.lastname: Coghlan
authors.forename: Vijay K
authors.initials: VK
authors.lastname: Misra
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002637:Chest Pain / Q000209:etiology; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004438:Ecchymosis / Q000209:etiology; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012769:Shock / Q000209:etiology; D014057:Tomography, X-Ray Computed