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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author 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
author_facet 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
author_sort Ishak Ahmed Abdi
collection DOAJ
description 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.
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institution Kabale University
issn 1930-0433
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-40852c891f6c4c5c9ecdcce327d5a1ab2024-12-18T08:47:45ZengElsevierRadiology Case Reports1930-04332025-02-0120210531057Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challengeIshak Ahmed Abdi0Osman Farah Dahir1Ahmed Elmi Abdi2Mohamed Omar Hassan3Said Abdirahman Ahmed4Mohamud Mire Waberi5Ahmed Shafie Aden6Shuayb Moallim Ali Jama7Mohamed Osman Dahir8Can Baba Arın9Mohammed AM Ahmed10Department of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, Somalia; Corresponding author.Department of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Cardiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Radiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Radiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, SomaliaDepartment of Radiology, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, Somalia; Department of Cardiology, Health Science University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital; Istanbul, TurkeyFaculty of medicine, Mogadishu University, Mogadishu, Somalia; Department of pediatric cardiology, Mogadishu Heart Center, Mogadishu, SomaliaCoronary 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.http://www.sciencedirect.com/science/article/pii/S1930043324012275Coronary artery aneurysmSyncopeCardiac CT angiography
spellingShingle 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
Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
Radiology Case Reports
Coronary artery aneurysm
Syncope
Cardiac CT angiography
title Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
title_full Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
title_fullStr Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
title_full_unstemmed Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
title_short Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge
title_sort giant right coronary artery aneurysm presenting with recurrent syncope a diagnostic challenge
topic Coronary artery aneurysm
Syncope
Cardiac CT angiography
url http://www.sciencedirect.com/science/article/pii/S1930043324012275
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