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. |