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

• Main Authors: Yu Hyun Lee, Noh Hyuck Park, Ji Yeon Park, Seon-Jeong Kim
• Format: Article
• Language: English
• Published: The Korean Society of Radiology 2020-01-01
• Series: 대한영상의학회지
• Subjects: coronary vessel anomalies; coronary artery disease; coronary aneurysm; multidetector computed tomography
• Online Access: https://doi.org/10.3348/jksr.2020.81.1.213

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.