Unexpected Giant Right Coronary Artery Aneurysm Diagnosed by Computed Tomography Angiography in the Emergency Department
Giant coronary artery aneurysms (GCAA) are usually defined as diameter > 8 mm or > 400% of the adjacent normal segment; they are very rare (reported prevalence ≈0.02%). Though coronary angiography is the diagnostic gold standard, computed tomography angiography (CTA) offers a non-invasive, highly sensitive, and specific alternative. CTA enables detailed visualization of aneurysm morphology and detection of complications. We present the case of a 72-year-old man admitted to the Emergency Department with chest pain, where CTA played a crucial role in diagnosing a GCAA and assessing its potential life-threatening complications, highlighting its value in emergency cardiovascular imaging.
Authors
- Nino Cocco (ORCID: https://orcid.org/0000-0003-4981-3777)
- Stefania Tamburrini (ORCID: https://orcid.org/0000-0003-0455-0256)
- Giulia Lassandro (ORCID: https://orcid.org/0000-0003-0983-2260)
- Giulio Cocco (ORCID: https://orcid.org/0000-0003-3458-5468)
- Rosita Comune (ORCID: https://orcid.org/0000-0003-4883-6619)
- Stefano Giusto Picchi (ORCID: https://orcid.org/0000-0002-3124-1523)
- Filomena Pezzullo
- Antonio Corvino (ORCID: https://orcid.org/0000-0002-6608-6252)
- Domenico Tafuri (ORCID: https://orcid.org/0000-0002-5948-1414)
Institutions
- Università Campus Bio-Medico (IT)
- Parthenope University of Naples (IT)
- University of Chieti-Pescara (IT)
- University of Campania "Luigi Vanvitelli" (IT)
- Ospedale D. Cotugno (IT)
Publication Details
- Journal
- Journal of Clinical Ultrasound
- Published
- 2025-09-21
- DOI
- https://doi.org/10.1002/jcu.70083
- Primary Topic
- Kawasaki Disease and Coronary Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00