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Title: Giant right coronary artery aneurysm presenting with non-ST elevation myocardial infarction and severe mitral regurgitation: a case report.
Austin Authors: Nazareth, Justin;Weinberg, Laurence ;Fernandes, Jon;Peyton, Philip J ;Seevanayagam, Sivan
Affiliation: Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg, Victoria, 3084, Australia
Issue Date: 7-Sep-2011
Publication information: Journal of Medical Case Reports 2011; 5(): 442
Abstract: Coronary artery aneurysms are seen in 1.5-5% of patients presenting for coronary angiography, but giant aneurysms, defined as being greater than 2 cm in diameter, are rare. Given the paucity of cases and limited experience in diagnosis and management of the disease, each case is a learning tool in itself.We report the rare case of a 78-year-old Caucasian man who presented to a peripheral emergency department with chest pain and was subsequently found to have a giant right coronary artery aneurysm. Following initial investigation and treatment he was referred to our hospital for definitive management.The case described illustrates one of the varied presentations and subsequent management of an ill-defined and heterogeneous disease process. Given the limited experience with giant aneurysms in the coronary circulation, this case provides valuable insight into the clinical presentation of the disease and gives an example of the management of the most recent such case at our hospital.
Gov't Doc #: 21899756
DOI: 10.1186/1752-1947-5-442
Type: Journal Article
Appears in Collections:Journal articles

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