Journal of the American Society of Echocardiography
Volume 15, Issue 7 , Pages 736-738, July 2002

Congenital right coronary artery aneurysm causing myocardial infarction, pseudoaneurysm formation, and right atrial compression☆

Rochester, Minnesota, and La Crosse, Wisconsin

From the Divisions of Cardiovascular Diseases and Cardiovascular Surgery, Mayo Clinic, Rochester, and Gundersen Lutheran Hospital, La Crosse

Abstract 

We present a case of a young woman with symptoms of acute myocardial infarction and found to have a nonatherosclerotic coronary aneurysm of the right coronary artery, which ruptured and formed a pseudoaneurysm. The pseudoaneurysm was sufficiently large that it mimicked an atrial mass on diagnostic imaging modalities. With the attendant risk of further rupture and compression of the heart chambers, the patient underwent successful resection of the aneurysm and pseudoaneurysm with single vessel bypass surgery. (J Am Soc Echocardiogr 2002;15:736-8.)

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☆ Reprint requests: Roger Click, MD, PhD, Division of Cardiovascular Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (E-mail: click.roger@mayo.edu).

PII: S0894-7317(02)00025-1

doi:10.1067/mje.2002.118529

Journal of the American Society of Echocardiography
Volume 15, Issue 7 , Pages 736-738, July 2002

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