Abstract
Right coronary artery aneurysms are rare and may result from severe coronary disease, with few cases described in the literature. Mortality is high, and therapy is still controversial. We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion. During the evaluation, a giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course.
Highlights
A coronary artery aneurysm is a rare condition
We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion
Coronary aneurysms consist in a coronary artery segment with a diameter 1.5-fold greater than the normal diameter.[5,6]
Summary
Alexandre Vidal Bonfim1iD, Ronald de Souza1iD, Sérgio Rodrigo Beraldo2iD, Frederico Nunes3iD, Daniel de Oliveira Beraldo4iD. A giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course. RESUMO – O aneurisma de artéria coronária direita é raro, podendo resultar de doença coronariana grave, com poucos casos descritos na literatura. Foi constatado aneurisma gigante em terço proximal de artéria coronária direita. A paciente foi submetida a tratamento cirúrgico com realização de enxerto de artéria radial para coronária direita e ligadura do saco aneurismático com boa evolução.
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