An emergency surgical repair for ruptured giant right coronary artery aneurysm

Osman Tiryakioğlu; Mehmet Cem Başel; Selma Kenar Tiryakioğlu; Tamer Türk; Şenol Yavuz

Osman Tiryakioğlu¹, Mehmet Cem Başel², Selma Kenar Tiryakioğlu², Tamer Türk¹, Şenol Yavuz¹

¹Departments of Cardiovascular Surgery, Bursa Yüksek İhtisas Education and Research Hospital, Bursa
²Departments of Cardiology, Bursa Yüksek İhtisas Education and Research Hospital, Bursa

Spontaneous rupture of a coronary artery aneurysm which may cause catastrophic events such as ischemia, myocardial infarction, tamponade and sudden cardiac death. A 56- year-old woman presented with sudden pain in chest and tachycardia. There were signs of acute inferior myocardial infarction on electrocardiography, and it revealed pericardial effusion and cystic mass anterior to right atrium. After removing the tamponade it was seen that the bleeding was from right coronary arterial aneurysm rupture. Aneurysm resection and bypass via saphenous vein graft were performed and the patient was discharged on the postoperative seventh day.

Keywords : Coronary aneurysm/complications/surgery; rupture

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