Thrombosed giant right coronary artery aneurysm

Abstract

A 50-year-old male patient, without previous history, presented with prolonged precordial pain following moderate exercise. He was transferred to a local hospital, where acute coronary syndrome (ACS) was diagnosed and was treated with conventional (aspirin, β-blockers, nitrates, heparin) treatment. His recovery was uncomplicated and he left the intensive care unit 48 hours later. He was discharged from the hospital 7 days later and the following treatment was prescribed: β-blocker, angiotensin converting enzyme inhibitor, statin, and aspirin. The patient was a smoker (60 packs per year), presented dyslipidemia and had no positive family history of coronary artery disease. After his release from the hospital, he was admitted to our hospital for cardiac catheterization without any symptoms. He was hospitalized as planned, two weeks following the ACS and underwent coronary angiography. Coronary angiography showed normal left main coronary artery, left anterior descending artery and left circumflex artery.