Altarabsheh Salah E, Deo Salil V, Rababa'h Abeer, Mayaah Sakher, Alkhasawneh Mohammad, Alhabahbeh Dalia A, Obeidat Yagthan M
Division of Cardiovascular Surgery, Queen Alia Heart Institute, Amman, Jordan.
Department of Cardiac Surgery, Surgical Services, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio.
J Card Surg. 2020 Sep;35(9):2379-2381. doi: 10.1111/jocs.14717. Epub 2020 Jul 11.
Giant right coronary artery (RCA) aneurysm is a rare coronary artery pathology. We describe a 45-year-old gentleman who presented with unstable angina of recent onset. Diagnostic workup including chest computed tomography angiography and left heart catheterization demonstrated three-vessel coronary artery disease with giant proximal RCA aneurysm. In the view of the severity of the coronary artery disease and the risk of rupture associated with the giant RCA aneurysm and the clinical presentation, the patient was successfully treated by coronary artery bypass surgery. During this procedure, the RCA aneurysm was ligated at both inflow and outflow. The patient recovered well and was discharged home.
巨大右冠状动脉（RCA）瘤是一种罕见的冠状动脉病变。我们描述了一位45岁的男性，他近期出现不稳定型心绞痛。包括胸部计算机断层扫描血管造影和左心导管检查在内的诊断性检查显示为三支血管冠状动脉疾病并伴有巨大的近端RCA瘤。鉴于冠状动脉疾病的严重程度、与巨大RCA瘤相关的破裂风险以及临床表现，该患者通过冠状动脉搭桥手术成功治疗。在此手术过程中，RCA瘤的流入和流出端均被结扎。患者恢复良好并出院回家。
