The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


An unexpected huge coronary aneurysm

EuroIntervention 2016;12:1175. DOI: 10.4244/EIJV12I9A190

1. Division of Cardiology, Department of Medicine and Geriatrics, Pok Oi Hospital, Yuen Long, Hong Kong, China; 2. Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands

A 32-year-old healthy woman presented with impaired exercise tolerance four months after giving birth to her fourth child. Chest radiography showed increased contour size of the right atrium. Computed tomographic angiography (CTA) was arranged with the initial intention of excluding pulmonary embolism. A large ball-shaped structure, 8 cm in diameter, was found across the heart in the right-hand side of the arterioventricular groove with significant compression of the right atrium, the right ventricle and the superior vena cava. It was initially suspected to be a huge pericardial cyst (Panel A, Panel B). Echocardiography showed a large round structure (8×8.5 cm) ...

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