Suspected contained rupture of a coronary artery aneurysm followed by a re-rupture: a case report.

ABSTRACT:

Background

Most coronary artery aneurysms (CAAs) are clinically asymptomatic and are only detected incidentally during cardiac imaging. However, CAAs can cause fatal complications such as cardiac tamponade following a rupture. Reports of contained ruptures of CAAs are limited.

Case summary

An 89-year-old man had a severe, acute-onset chest pain 2 days prior. The patient was referred to our hospital because of residual dyspnoea and a fever. The blood tests exhibited high C-reactive protein and D-dimer levels; moreover, contrast-enhanced computed tomography (CT) and transthoracic echocardiography revealed a diffuse mild pericardial effusion, which had not been detected six months prior. The fever and pericardial effusion persisted, and the main cause was not clearly understood

SUBMITTER: Miyamoto R 

PROVIDER: S-EPMC11561559 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature