No Ordinary Coronary: A Case Series of Two Large Coronary Artery Aneuryms Found on Chest X-Ray

Post-procedural coronary aneurysms can have high morbidity and mortality. Although found more commonly on ultrasound or computed tomography imaging, if large enough, they may appear on chest x-ray studies. We present two cases of coronary artery aneurysm visible on chest x-ray study—one originating...

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Bibliographic Details
Published in:The Journal of emergency medicine 2023-01, Vol.64 (1), p.47-50
Main Authors: Degtyar, Aleksandra, Baker, Thomas Cole, Punja, Mohan
Format: Article
Language:English
Subjects:
chest pain
chest x-ray study
coronary artery aneurysm
pseudoaneurysm
radiology
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Summary:Post-procedural coronary aneurysms can have high morbidity and mortality. Although found more commonly on ultrasound or computed tomography imaging, if large enough, they may appear on chest x-ray studies. We present two cases of coronary artery aneurysm visible on chest x-ray study—one originating from a saphenous vein graft and the other a left anterior descending artery pseudoaneurysm 1 week post heart catheterization. It is important for emergency physicians to recognize abnormal chest x-ray studies and to look for post-procedural complications, such as coronary artery aneurysm. Coronary artery aneurysm can be a potentially life-threatening condition requiring prompt recognition and surgical consultation.
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2022.09.020