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  • Title: Giant right coronary artery aneurysm presenting as cardiac tamponade.
    Author: Ramirez JL, Kratz JR, Wieselthaler GM.
    Journal: Interact Cardiovasc Thorac Surg; 2018 Nov 01; 27(5):787-789. PubMed ID: 29800339.
    Abstract:
    Giant coronary artery aneurysms are rare and have variable presentations, which range from an incidental finding to sudden death. We report a case of a female presenting with chest pain and signs of cardiac tamponade who underwent a computed tomography (CT) pulmonary embolus protocol and was found to have haemopericardium with accumulation of contrast adjacent to the aorta. She underwent emergent sternotomy and was found to have a ruptured giant right coronary artery aneurysm, which was ligated and bypassed. This report highlights the difficulty of diagnosing a ruptured giant coronary artery aneurysm via CT and provides valuable information on an atypical presentation.
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