Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient - Scorecard - MDSpire

Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient

  • By

  • Zhi Wen

  • Yong Luo

  • Mingwu Tian

  • Yan Du

  • Changxue Wu

  • June 10, 2026

  • 0 min

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Clinical Scorecard: Successful Surgical Resection and Bypass of a Giant Right Coronary Artery Aneurysm Causing Cardiac Compression in a Patient with Normal Lipid Levels: A Case Study

At a Glance

CategoryDetail
Condition
Key MechanismsNon-atherosclerotic, non-inflammatory arterial wall degeneration (source needed)
Target PopulationAdults with giant coronary artery aneurysms (source needed)
Care Setting

Key Highlights

  • Patient presented with acute chest pain and signs of right heart compression (source needed)
  • GCAA measured 15.6 cm in diameter with significant intraluminal thrombus (source needed)
  • Successful surgical resection and bypass grafting performed (source needed)
  • Postoperative recovery showed decreased central venous pressure (source needed)
  • Histopathology indicated fibrous hyperplasia and architectural disorganization (source needed)

Guideline-Based Recommendations

Diagnosis

  • Multimodal imaging including CTA, CMR, and echocardiography for evaluation (source needed)

Management

  • Surgical resection and bypass grafting for symptomatic GCAA (source needed)

Monitoring & Follow-up

  • Follow-up imaging to assess graft patency and monitor for complications (source needed)

Risks

  • Potential for thrombosis, embolism, rupture, or fistula formation (source needed)

Patient & Prescribing Data

Surgical intervention was necessary due to acute symptoms (source needed)

Clinical Best Practices

  • Immediate evaluation and imaging in cases of acute chest pain (source needed)
  • Consideration of GCAA in patients presenting with signs of cardiac compression (source needed)
  • Multidisciplinary approach involving cardiology and cardiovascular surgery (source needed)

Related Resources & Content

Original Source(s)

Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient

  • by Zhi Wen, Yong Luo, Mingwu Tian, Yan Du, Changxue Wu

  • June 10, 2026

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