Ruptured right coronary artery aneurysm presenting as a myocardial mass.

Berrizbeitia, Luis D; Samuels, Louis E · Ann Thorac Surg · 2002

case_report · Level V

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Abstract

Rupture of a coronary artery aneurysm may result in a contained hematoma and an intramyocardial mass. We present a case of a contained coronary artery aneurysm rupture presenting as a mass in the right ventricle. The mass was suspected in a preoperative transthoracic echocardiogram and identified at the time of elective coronary artery bypass surgery. We discuss the pathophysiology, clinical presentation, diagnostic features, and management of this uncommon clinical presentation.

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