title: Giant Coronary Artery Aneurysm in a Middle-Aged Woman.
abstract: Giant coronary artery aneurysm (CAA) is a rare clinicopathologic entity, and there is a dearth of information regarding presentation, diagnosis, and subsequent management. We present a case of a giant aneurysm of the proximal right coronary artery (RCA) that was 1.5 × 1.5 cm with direct communication between the aneurysmal cavity and the aortic sinus. The deficit in the RCA ostium was closed with a patch of bovine pericardium. The distal communication of the aneurysm to the mid-RCA was clearly delineated and tied off. The distal RCA was grafted under bypass with a long saphenous vein. Although our case is not unique, it does represent an uncommon presentation of a rare disease process.
authors.affiliation: Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom. Electronic address: akriti.naraen@doctors.org.uk.
authors.forename: Akriti
authors.initials: A
authors.lastname: Naraen
authors.affiliation: Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Pramod
authors.initials: P
authors.lastname: Reddy
authors.affiliation: Department of General Medicine, Royal Liverpool University Hospital, Liverpool, United Kingdom.
authors.forename: Chiara
authors.initials: C
authors.lastname: Notarstefano
authors.affiliation: Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Manoj
authors.initials: M
authors.lastname: Kudavali
mesh_terms: D000368:Aged; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans