Ruptured Giant Coronary Artery Aneurysm: Complex Features and Surgical Challenges.

ABSTRACT:

Background

Coronary artery aneurysm (CAA) is a rare condition, often asymptomatic and incidentally detected, with large aneurysms (≥20 mm) typically requiring early elective surgery, limiting data on its long-term natural progression.

Method

This study presents a unique case of a patient with a giant right CAA, left CAA, and multiple fistulas who was monitored for 7 years before experiencing rupture, necessitating emergency surgery, and provides a video and report on the surgical intervention.

Result

The emergency surgery was successful, and the patient recovered well, with a 7-day hospital duration and an excellent condition at an appropriate 3-month follow-up. The aneurysms and fistulas were lately not observed by coronary computed tomography angiography.

Conclus

SUBMITTER: Xiao C 

PROVIDER: S-EPMC12665848 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature