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Year : 2015  |  Volume : 7  |  Issue : 7  |  Page : 334-336

A rare combination of giant right coronary artery aneurysm

Department of Internal Medicine, Division of Cardiology, University of Utah, Salt Lake City, Utah, USA

Correspondence Address:
Imran Haider
30 North 1900 East, Room 4A100, Salt Lake City, Utah - 84132
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1947-2714.157491

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Context: Giant coronary artery aneurysm (CAA) in adults is a rare clinical entity with an estimated incidence of 0.02%. CAA is commonly found in the right coronary artery with significant number of cases associated with fistula formation. Case Report: We describe a rare case of an 87 year-old man with large CAA with fistulous drainage into the right ventricle (RV) along with RV free wall vegetation as a cause of chronic weakness and lethargy. Conclusion: Giant CAA with fistulous drainage to the RV could present in the form of infective endocarditis. Early detection and surgical treatment would provide a significant benefit to these patients.

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