Giant Intramyocardial Aneurysm in a Patient with Intercoronary Communication between the Left Circumflex Artery and Right Coronary Artery: A Case Report
10.3348/jksr.2020.81.1.213
- Author:
Yu Hyun LEE
1
;
Noh Hyuck PARK
;
Ji Yeon PARK
;
Seon Jeong KIM
Author Information
1. Department of Radiology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea. nhpark@mjh.or.kr
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(1):213-218
- CountryRepublic of Korea
- Language:English
-
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.