Skip to main content
. 2020 Apr 24;4(3):1–5. doi: 10.1093/ehjcr/ytaa089
Time Events
Day 1 Patient presents with dyspnoea on exertion. Chest computed tomography (CT) reveals mediastinal lymphadenopathy and right coronary artery (RCA) aneurysms.
Day 2 Invasive coronary angiogram confirms two large aneurysmal dilatations of the RCA.
Day 3 Coronary CT angiography reveals giant distal RCA aneurysm, in addition to the proximal and mid-RCA aneurysms, with evidence of intraluminal thrombosis.
Day 4 Contrast-enhanced cardiac magnetic resonance imaging is obtained and re-demonstrates RCA aneurysms and depicts findings of inferior wall ischaemia explaining patient’s symptoms.
Day 6 Patient undergoes resection of the mid and distal RCA aneurysms with a single saphenous vein graft anastomosed to the right posterior descending coronary artery.