Skip Navigation


European Heart Journal Advance Access originally published online on March 11, 2008
European Heart Journal 2008 29(17):2107; doi:10.1093/eurheartj/ehn086
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
29/17/2107    most recent
ehn086v2
ehn086v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by de Agustín, J. A.
Right arrow Articles by Rodrigo, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by de Agustín, J. A.
Right arrow Articles by Rodrigo, J. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Asymptomatic coronary artery aneurysms: echocardiography, cardiac magnetic resonance, and coronariography assessment

José Alberto de Agustín*, Vera Lennie and Jose Luis Rodrigo

Instituto Cardiovascular, Hospital Clínico San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain

* Corresponding author. Tel: +34 696 228197, Fax: +34 915 649716, Email: albertutor{at}hotmail.com

An asymptomatic 55-year-old man with a previous history of hypertension and dyslipidaemia was referred to our clinic as a result of the finding of an enlarged cardiac silhouette in a routine chest radiography. His physical examination and electrocardiogram was unremarkable. Transthoracic echocardiogram revealed two spherical masses located at both right and left atrioventricular sulcus. The right mass protruded into the right heart chambers (Panel A). Transoesophageal study showed a solid mass with a well-delineated external border and a small echo-free cavity (Panel B). Colour Doppler demonstrated the presence of blood flow inside the mass. Cardiac magnetic resonance disclosed a huge aneurysm of the right coronary artery measuring 9 x 8.5 cm2, mostly occupied by thrombus (Panels C and D). Also a dilated left coronary system was noted. Coronariography confirmed the presence of a giant aneurysm in the proximal tract of the right coronary artery (Panel E). Left coronariography showed diffuse coronary ectasia without obstructive coronary disease (Panel F). The left ventriculogram was normal. The patient had no previous history of Kawasaki's disease in his childhood, and the screening for vasculitis and other connective tissue disorders was negative. We then considered that the most likely aetiology was atherosclerosis. Cardiac surgery was recommended, but the patient declined and did not attend the follow-up appointments.

Formula


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?



This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
29/17/2107    most recent
ehn086v2
ehn086v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by de Agustín, J. A.
Right arrow Articles by Rodrigo, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by de Agustín, J. A.
Right arrow Articles by Rodrigo, J. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?