INTRODUCTION Coronary artery aneurysm (CAA) is defined as coronary dilatation which exceeds the diameter of the normal adjacent artery segments or the diameter of the patient's largest coronary artery by 1.5 times. The incidence of giant CAA is difficult to be determined, since only few reports have been described in the literature. METHODS AND RESULTS A 65-year-old man was referred to our ho...

BACKGROUND Right ventricular hypoplasia (RVH) is often caused by tricuspid valve atresia and pulmonary valve atresia. this condition leads to low right ventricular blood volume and right ventricular maldevelopment. But, in adults, the main cause of RVH may also be associated with alloplasia of the right coronary artery, which results in an insufficient blood supply to the right ventricular myoc...

Kawasaki disease was first identified in Japan by Tomisaku Kawasaki in 1967,1) and has now been described worldwide. In Korea, the annual incidence of KD was 194.7 per 100000 children in 2014, and the coronary aneurysm rate was 1.7%.2) Kawasaki disease (KD) is an acute febrile disease of unknown etiology. It causes systemic inflammation of vessels through the whole body and especially affects c...

aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. the most common cause of coronary artery aneurysms is atherosclerosis. angiography is the gold standard for diagnosis and treatment. depending on the severity of the coexisting coronary stenosis, patients with left main co...

A 73-year-old female underwent percutaneous coronary intervention (PCI) because of stable angina. An elective PCI for the RCA lesion was first performed with deploying sirolimus eluting stents (SES). Three weeks later, PCI was also provided in the residual LAD lesion. Eight months later, she presented with new angina. CAG revealed an in-stent restenosis in the mid LAD and a large eccentric sacc...

Coronary artery aneurysms are commonly of atherosclerotic origin and are frequently asymptomatic. However, they may have varied presentations including angina, myocardial infarction, and sudden death. A case of a giant right coronary artery aneurysm presenting with acute myocardial infarction is presented, where the aneurysm appeared to be a mediastinal mass on transthoracic and transoesophagea...

A 22-year-old man, occasional user of cocaine and smoker of 22 cigarettes/day, was referred to our center for chest pain. The physical examination and laboratory workup were normal. Electrocardiography showed right bundle branch block with Q-waves in V1, V2, and V3. The chest x-ray (Figure 1) revealed a round calcified image superimposed on the cardiac silhouette. On echocardiography, the left ...

To cite: Lin M-T, Sun L-C, Wu E-T, et al. Arch Dis Child 2015;100:542–547. ABSTRACT Objective To explore acute and late coronary outcomes and their risk/modifiers in patients with Kawasaki disease (KD). Design Retrospective study. Setting and patients 1073 patients with KD identified from a tertiary care medical centre (1980– 2012; 8677 patient-years). Main outcome measures The acute coronary s...

OBJECTIVE To explore acute and late coronary outcomes and their risk/modifiers in patients with Kawasaki disease (KD). DESIGN Retrospective study. SETTING AND PATIENTS 1073 patients with KD identified from a tertiary care medical centre (1980-2012; 8677 patient-years). MAIN OUTCOME MEASURES The acute coronary severities and late outcomes (survival free of coronary aneurysm persistence and...

Coronary artery aneurysms, characterized by abnormal dilatations of a localized portion of the coronary artery, are an uncommon finding during angiography. We present a case where a giant right coronary aneurysm was detected during angiography, in a patient admitted with a inferior wall myocardial infarction.