J Korean Soc Radiol.  2020 Jan;81(1):213-218. 10.3348/jksr.2020.81.1.213.

Giant Intramyocardial Aneurysm in a Patient with Intercoronary Communication between the Left Circumflex Artery and Right Coronary Artery: A Case Report

Affiliations
  • 1Department of Radiology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea. nhpark@mjh.or.kr

Abstract

Coronary artery aneurysm is a rare disease. It occurs in the epicardial space, mostly along the course of major coronary arteries. Here, we report a case of a giant incidental aneurysm embedded in the basal posterior wall of the left ventricle. A 43-year-old woman was referred to our institution for the evaluation of cardiac palpitations that had been present from the previous 2 months. She reported no medical history (such as Kawasaki's disease or hypertension) or previous operative history. Echocardiogram and subsequent cardiac CT revealed a giant aneurysm in the left ventricle, with a direct fistulous connection to a dilated and tortuous left circumflex artery, which showed direct communication with the straight right coronary artery.


MeSH Terms

Adult
Aneurysm*
Arteries*
Coronary Aneurysm
Coronary Artery Disease
Coronary Vessel Anomalies
Coronary Vessels*
Female
Heart Ventricles
Humans
Multidetector Computed Tomography
Rare Diseases
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