Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020:71:112-115.
doi: 10.1016/j.ijscr.2020.04.099. Epub 2020 May 21.

Double giant ectasia of right coronary artery in a young woman: A rare case report

Tran Quyet Tien  1
Affiliations
Case Reports

Double giant ectasia of right coronary artery in a young woman: A rare case report

Tran Quyet Tien. Int J Surg Case Rep. 2020.

Abstract

Background: Coronary artery ectasia (CAE) is a rare condition that is characterized by the excessive diffuse dilatation of the coronary arteries by 1.5 times in diameter compared to adjacent coronary arteries. The giant CAE is even rarer and life-threatening.

Case presentation: A 34-year-old female patient was admitted to our centre with three months history of vague chest pain that worsened gradually. The CT scanner confirmed that there were two giant aneurysmal sacs in the right coronary artery (RCA). The first sac was 32 × 36 mm in size and located in the proximal RCA, the second one containing thrombus in the middle RCA with a size of 43 × 30 mm. The patient was successfully treated by aneurysmal resection and concomitant coronary artery bypass.

Conclusion: Giant coronary artery ectasia is a rare clinical condition and very dangerous for patients unless properly treated. We successfully treated a case of giant right coronary artery ectasia with favorable outcome.

Keywords: Coronary artery aneurysm; Coronary artery ectasia; Giant.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The author declares that they have no competing interests.

Figures

Fig. 1
Fig. 1
The CT scanner detected two giant aneurysmal sacs on the right coronary artery. (a) the 12-lead electrocardiogram showed sinus rhythm with a rate of 70 beats and incomplete right bundle branch block; (b) Coronal plain view of CTA; (c,d) Sagital plain view of CTA; (e,f) axial plain view of CTA; (g) three-dimension view of aneurymal sacs; (*) the first aneurymal sac; (**) the second aneurymal sac.
Fig. 2
Fig. 2
(a) The intraperative image of proximal aneurysmal sac (*). (b) The cardiopulmonary bypass was set through the ascending aorta, superior and inferior vena cava.
Fig. 3
Fig. 3
The postoperative enhanced CT of the chest was performed one-month post-CABG and the coronary reconstructions by GSV revealed patent (orange arrow).
Fig. 4
Fig. 4
Histopathological examination showed the degeneration due to atherosclerosis.
See this image and copyright information in PMC

References

    1. Swaye P.S., Fisher L.D., Litwin P., Vignola P.A., Judkins M.P., Kemp H.G., Mudd J.G., Gosselin A.J. Aneurysmal coronary artery disease. Circulation. 1983;67(1):134–138. doi: 10.1161/01.CIR.67.1.134. - DOI - PubMed
    1. CASS Principal Investigators and their Associates Coronary artery surgery study (CASS): a randomized trial of coronary artery bypass surgery: comparability of entry characteristics and survival in randomized patients and nonrandomized patients meeting randomization criteria. J. Am. Coll. Cardiol. 1984;3(1):114–128. doi: 10.1016/S0735-1097(84)80437-4. - DOI - PubMed
    1. Hartnell G.G., Parnell B.M., Pridie R.B. Coronary artery ectasia:its prevalence and clinical significance in 4993 patients. Br. Heart J. 1985;54(4):392–395. doi: 10.1136/hrt.54.4.392. - DOI - PMC - PubMed
    1. Mata K.M., Fernandes C.R., Floriano E.M., Martins A.P., Rossi M.A., Ramos S.G. Coronary artery aneurysms: an update. Novel Strategies Ischemic Heart Dis. 2012;21:381–404. doi: 10.5772/32331. - DOI
    1. Devabhaktuni S., Mercedes A., Diep J., Ahsan C. Coronary artery Ectasia-a review of current literature. Curr. Cardiol. Rev. 2016;12(4):318–323. doi: 10.2174/1573403x12666160504100159. - DOI - PMC - PubMed

Publication types