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Delineating anatomy and function with multimodality imaging: a case report of giant right coronary artery aneurysms.

Kameel KassabMina IskanderSaurabh MalhotraNataliya Pyslar
Published in: European heart journal. Case reports (2020)
This case highlights the anatomical findings of giant CAA and the application of multimodality imaging for their accurate characterization. While ICA confirmed the presence of the aneurysms, CCTA enabled the assessment of their full extent and depict intraluminal thrombosis. Contrast-enhanced CMR delineated aneurysm wall characteristics, with first-pass images demonstrating reduced inferior wall perfusion at rest, which was likely the cause of patient's exertional symptoms. Management of giant coronary aneurysms involves surgical resection with bypass grafting.
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