Multiple Giant Coronary Artery Aneurysms

Hiroki Usuku; Sunao Kojima; Naoto Kuyama; Shinsuke Hanatani; Satoshi Araki; Kenichi Tsujita; Ryusuke Tsunoda; Toshihiro Fukui; Seiji Hokimoto

doi:10.2169/internalmedicine.56.8357

CASE REPORTS

Multiple Giant Coronary Artery Aneurysms

Hiroki Usuku, Sunao Kojima, Naoto Kuyama, Shinsuke Hanatani, Satoshi Araki, Kenichi Tsujita, Ryusuke Tsunoda, Toshihiro Fukui, Seiji Hokimoto

Author information

Hiroki Usuku
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Japan
Sunao Kojima
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Naoto Kuyama
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Shinsuke Hanatani
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Satoshi Araki
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Kenichi Tsujita
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan
Ryusuke Tsunoda
Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Japan
Toshihiro Fukui
Department of Cardiovascular Surgery, Kumamoto University Graduate School of Medical Sciences, Japan
Seiji Hokimoto
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan

Keywords: giant coronary artery aneurysms, coronary artery rupture

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 15 Pages 1973-1976

DOI https://doi.org/10.2169/internalmedicine.56.8357

Details

Abstract

A 74-year-old man was admitted to our hospital with chest pain and dyspnea associated with ST elevation in leads II, III and aVF. An echocardiogram showed an enlarged mass lesion measuring nearly 80 mm. Coronary angiography showed two giant coronary artery aneurysms (CAAs) in the right coronary artery (RCA). CAAs were also seen in the left main trunk and left anterior descending artery. Computed tomography showed the CAA in the RCA was ruptured into the right atrium. We therefore diagnosed this patient with multiple CAAs, myocardial infarction and coronary artery rupture. He underwent successful surgical excision and coronary bypass surgery.

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