Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge

Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-mont...

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Main Authors: Ishak Ahmed Abdi, Osman Farah Dahir, Ahmed Elmi Abdi, Mohamed Omar Hassan, Said Abdirahman Ahmed, Mohamud Mire Waberi, Ahmed Shafie Aden, Shuayb Moallim Ali Jama, Mohamed Osman Dahir, Can Baba Arın, Mohammed AM Ahmed
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324012275
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Summary:Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-month history of recurrent syncope, occurring in the absence of other symptoms. Initial evaluations, including MRI and cardiac examinations, revealed no abnormalities. However, a transthoracic echocardiogram identified a ring-like structure adjacent to the tricuspid valve, and subsequent computed tomography angiography confirmed a large right coronary artery aneurysm. This case highlights the rare presentation of recurrent syncope as a manifestation of CAA, emphasizing the need for timely diagnosis and intervention in similar cases.
ISSN:1930-0433