A 15-cm aneurysm of the right coronary artery presenting as a pericardial cyst.
We report an unusual case of a giant right coronary artery aneurysm, measuring 15 cm in diameter, in a 76-year old woman. The aneurysm was initially identified when the patient was investigated for signs of congestive cardiac failure with a computed tomography scan of her thorax; at this stage, the lesion was misdiagnosed as a large pericardial cyst. The aneurysm was successfully excised at surgery and her heavily diseased right coronary artery was secured with a saphenous vein graft.
Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK. nburnside@doctors.net.uk
Nathan
N
Burnside
Onyekwelu C
OC
Nzewi
Pushpinder Singh
PS
Sidhu
D000368:Aged; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001026:Coronary Artery Bypass; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008476:Mediastinal Cyst / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome