Adult Giant Coronary Artery Aneurysm — A Case Report and Literature Review

Hao, Wen-Rui
Chen, Fu-Chean
Kao, Pai-Fung
Hsieh, Ming-Hsiung
Chen, Yi-Jen
Chan, Paul

¹ Department of Medicine,
² Department of Surgery, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan.

Received: October 20, 2003 Accepted: March 24, 2004

Address correspondence and reprint requests to: Dr. Paul Chan, Department of Medicine, Taipei Medical University-Wan Fang Hospital, No. 111, Hsing-Lung Road, Sec. 3, Wen-Shan District, Taipei City 117, Taiwan. Tel: 886-2-2930-7930 ext. 2817, 2816; Fax: 886-2-2933-9378; E-mail: [email protected]

Acta Cardiologica Sinica 20(3):p 187-190, September 2004.

Giant coronary artery aneurysm is a rare condition of coronary artery disease. We report a 49-year-old female who presented with chest tightness and persantin thallium scan showing myocardial ischemia. She was admitted to our hospital for cardiac catheterization. A giant right coronary artery aneurysm was noted. Surgical resection of the aneurysm was performed smoothly. Pathologic report showed atherosclerotic change of vessel wall. The underlying cause of the aneurysm in this patient is discussed.