Spontaneous giant right coronary artery pseudoaneurysm

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Presentation transcript:

Spontaneous giant right coronary artery pseudoaneurysm Yi-Chia Wang, MD, Ron-Bin Hsu, MD, Chi-Hsiang Huang, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 1, Pages 349-350 (July 2014) DOI: 10.1016/j.jtcvs.2013.12.023 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Computed tomography shows a huge, right-sided cardiac mass (asterisk) with contrast enhancement and thrombus formation. B, The pseudoaneurysm (asterisk) originates from the right coronary artery (arrow), as is clearly visible. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 349-350DOI: (10.1016/j.jtcvs.2013.12.023) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Three-dimensional transesophageal echocardiography shows the pseudoaneurysm (asterisk) to come from the proximal right coronary artery orifice (arrow). B, Color 3-dimensional transesophageal echocardiography reveals the shunting from the right coronary artery (arrow). C, Pseudoaneurysm (asterisk) ruptured into the right ventricle (RV) at the tricuspid valve level. Ao, Aorta; RA, right atrium. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 349-350DOI: (10.1016/j.jtcvs.2013.12.023) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Operative photograph shows a huge proximal right coronary artery pseudoaneurysm (asterisk) 14 × 10 cm in size. B, Operative photograph demonstrates surgical excision of the right coronary artery pseudoaneurysm and Hemashield patch repair for right ventricular rupture. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 349-350DOI: (10.1016/j.jtcvs.2013.12.023) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions