Abstract
We describe the case of a patient evaluated for the incidental finding of a suspected paracardiac mass. A computed tomography examination demonstrated two giant coronary aneurysms, containing endoluminal thrombi, involving both coronary arteries. Coronary angiography confirmed the diagnosis. The patient underwent surgical treatment because of the high risk of spontaneous rupture of the masses, owing to the early compressive effect especially on the right ventricular free wall.
MeSH terms
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Aged
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Aspirin / therapeutic use
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Atherectomy, Coronary
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Bundle-Branch Block / complications
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Bundle-Branch Block / diagnostic imaging
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Coronary Aneurysm / complications
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Coronary Aneurysm / diagnostic imaging*
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Coronary Aneurysm / surgery
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Coronary Angiography*
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Coronary Artery Bypass
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Coronary Thrombosis / complications
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Coronary Thrombosis / surgery
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Diagnosis, Differential
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Diuretics / therapeutic use
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Dyspnea / etiology
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Electrocardiography
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Humans
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Hypertension / complications
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Hypertension / drug therapy
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Incidental Findings
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Lung Neoplasms / diagnosis
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Male
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Multidetector Computed Tomography*
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Ultrasonography