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

To report a case of a giant right coronary artery aneurysm causing cardiac compression in a patient without traditional cardiovascular risk factors.

Key Findings:
  • The aneurysm measured 15.6 cm and contained a significant amount of intraluminal thrombus.
  • Histopathology indicated non-atherosclerotic, non-inflammatory arterial wall degeneration.
  • Postoperative outcomes included decreased central venous pressure and resolution of clinical symptoms.
Interpretation:

Limitations:
  • The study is based on a single case report, limiting generalizability.
  • Long-term outcomes beyond the 3-month follow-up are not reported.
  • Potential biases in a single case report are present.
Conclusion:

The successful surgical management of a giant right coronary artery aneurysm led to decreased central venous pressure and resolution of clinical symptoms.

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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