title: A Rare Combination of Giant Right Coronary Artery Aneurysm.
abstract: BACKGROUND
  Giant coronary artery aneurysm (CAA) in adults is a rare clinical entity with an estimated incidence of 0.02%. CAA is commonly found in the right coronary artery with significant number of cases associated with fistula formation.
  
  
  METHODS
  We describe a rare case of an 87 year-old man with large CAA with fistulous drainage into the right ventricle (RV) along with RV free wall vegetation as a cause of chronic weakness and lethargy.
  
  
  CONCLUSIONS
  Giant CAA with fistulous drainage to the RV could present in the form of infective endocarditis. Early detection and surgical treatment would provide a significant benefit to these patients.
authors.affiliation: Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, United States.
authors.forename: Imran
authors.initials: I
authors.lastname: Haider
authors.affiliation: Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, United States.
authors.forename: Promporn
authors.initials: P
authors.lastname: Suksaranjit
authors.affiliation: Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, United States.
authors.forename: Brent
authors.initials: B
authors.lastname: Wilson
authors.affiliation: Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, United States.
authors.forename: Christopher
authors.initials: C
authors.lastname: McGann
keywords: Coronary artery aneurysm; Coronary artery fistula; Giant coronary artery aneurysm; Infective endocarditis; Right ventricular fistula