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Giant Intramyocardial Aneurysm in a Patient with Intercoronary Communication between the Left Circumflex Artery and Right Coronary Artery: A Case Report

대한영상의학회지 2020년 81권 1호 p.213 ~ 218
이유현 ( Lee Yu-Hyun ) - Hanyang University College of Medicine Myongji Hospital Department of Radiology

 ( Park Noh-Hyuck ) - Hanyang University College of Medicine Myongji Hospital Department of Radiology
 ( Park Ji-Yeon ) - Hanyang University College of Medicine Myongji Hospital Department of Radiology
 ( Kim Seon-Jeong ) - Hanyang University College of Medicine Myongji Hospital Department of Radiology

Abstract


Coronary artery aneurysm is a rare disease. It occurs in the epicardial space, mostly along the course of major coronary arteries. Here, we report a case of a giant incidental aneurysm embedded in the basal posterior wall of the left ventricle. A 43-year-old woman was referred to our institution for the evaluation of cardiac palpitations that had been present from the previous 2 months. She reported no medical history (such as Kawasaki's disease or hypertension) or previous operative history. Echocardiogram and subsequent cardiac CT revealed a giant aneurysm in the left ventricle, with a direct fistulous connection to a dilated and tortuous left circumflex artery, which showed direct communication with the straight right coronary artery.

키워드

Coronary Vessel Anomalies; Coronary Artery Disease; Coronary Aneurysm; Multidetector Computed Tomography
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