{"title":"心脏中的球体巨大冠状动脉动脉瘤的罕见病例报告","authors":"Qureshi Naeem, Abhishek Kumar, Rajesh G.","doi":"10.1177/26324636241228428","DOIUrl":null,"url":null,"abstract":"A 22-year-old male having cardiomegaly with prominent right atrium (RA) enlargement in his chest X-ray underwent echocardiography which revealed an anterior mediastinal cystic lesion. Contrast-enhanced computed tomography of the thorax showed saccular contrast filling outpouching from ostia of the right coronary artery (RCA) of size 5.9 × 6.4 cm in anterior atrioventricular groove compressing RA and right ventricle along the RCA course. The left main coronary artery also appeared to be dilated with a diameter of 1.1 cm proximally. The patient denied any prior angina, palpitation, and dyspnea on exertion. This case is reported for its rarity and the dilemma involving its appropriate medical and surgical management.","PeriodicalId":429933,"journal":{"name":"Indian Journal of Clinical Cardiology","volume":" 97","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Globe in the Heart: A Rare Case Report of Giant Coronary Artery Aneurysm\",\"authors\":\"Qureshi Naeem, Abhishek Kumar, Rajesh G.\",\"doi\":\"10.1177/26324636241228428\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A 22-year-old male having cardiomegaly with prominent right atrium (RA) enlargement in his chest X-ray underwent echocardiography which revealed an anterior mediastinal cystic lesion. Contrast-enhanced computed tomography of the thorax showed saccular contrast filling outpouching from ostia of the right coronary artery (RCA) of size 5.9 × 6.4 cm in anterior atrioventricular groove compressing RA and right ventricle along the RCA course. The left main coronary artery also appeared to be dilated with a diameter of 1.1 cm proximally. The patient denied any prior angina, palpitation, and dyspnea on exertion. This case is reported for its rarity and the dilemma involving its appropriate medical and surgical management.\",\"PeriodicalId\":429933,\"journal\":{\"name\":\"Indian Journal of Clinical Cardiology\",\"volume\":\" 97\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Clinical Cardiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/26324636241228428\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Clinical Cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26324636241228428","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
一名 22 岁的男性患有心脏肥大，胸部 X 光片显示右心房（RA）明显增大，接受了超声心动图检查，结果显示前纵隔囊性病变。胸部对比增强计算机断层扫描显示，右冠状动脉（RCA）造口处有一个 5.9 × 6.4 厘米大小的囊状造影剂充盈袋，位于房室前沟，沿 RCA 走向压迫 RA 和右心室。左冠状动脉主干也出现扩张，近端直径为 1.1 厘米。患者否认之前有任何心绞痛、心悸和劳力性呼吸困难。本病例因其罕见性和涉及适当的内科和外科治疗的难题而被报道。
Globe in the Heart: A Rare Case Report of Giant Coronary Artery Aneurysm
A 22-year-old male having cardiomegaly with prominent right atrium (RA) enlargement in his chest X-ray underwent echocardiography which revealed an anterior mediastinal cystic lesion. Contrast-enhanced computed tomography of the thorax showed saccular contrast filling outpouching from ostia of the right coronary artery (RCA) of size 5.9 × 6.4 cm in anterior atrioventricular groove compressing RA and right ventricle along the RCA course. The left main coronary artery also appeared to be dilated with a diameter of 1.1 cm proximally. The patient denied any prior angina, palpitation, and dyspnea on exertion. This case is reported for its rarity and the dilemma involving its appropriate medical and surgical management.
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