The patient, six months before, had complained of diffuse pain in the right hemithorax at rest, which radiated to the left elbow at exertion. At the chest radiography and tomography (Fig. 1), cardiac opacities in imaging examination led to the hypothesis of the presence of coronary stents, which was discarded, as they had not been previously implanted. On further investigation by echocardiograp...

A 13 year old boy is described with hypereosinophilia associated with Kimura’s disease, who showed repeated life threatening syncopal attacks during daily activities or at rest. Coronary arteriography demonstrated small aneurysms with irregular vessel walls of both coronary arteries, and the absence of organic stenotic lesions. Infusion of a minimal dose of ergonovine into the right coronary ar...

A 20 year old woman with acute myocardial infarction exhibited a huge aneurysm of the left main coronary artery that was occluded by a large intraluminal thrombus. After exclusion of other vascular or systemic diseases, atypical Kawasaki syndrome was diagnosed. Other major symptoms usually required for this diagnosis were absent. As patients with Kawasaki syndrome in childhood are surviving lon...

Coronary artery aneurysm (CAA) is a neglected topic in the pathology literature; most descriptions of CAAs have been limited to reports of single cases and some reviews. Because CAAs are usually found incidentally during cardiac examinations, most of the reported cases have been diagnosed by coronary angiography, intravascular ultrasound and, on rare occasions, during autopsy (Ramos et al., 200...

A 74-year-old man was admitted to our hospital with chest pain and dyspnea associated with ST elevation in leads II, III and aVF. An echocardiogram showed an enlarged mass lesion measuring nearly 80 mm. Coronary angiography showed two giant coronary artery aneurysms (CAAs) in the right coronary artery (RCA). CAAs were also seen in the left main trunk and left anterior descending artery. Compute...

THE DEVELOPMENT of an aneurysm of the left ventricle is a relatively common sequela of myocardial infarction. 1-4 The pathophysiological consequences of such aneurysms have been defined by hemodynamic and cinefluorographic studies both before and after successful resection.5-8 In contrast, aneurysms of the right ventricle are rare and coronary artery disease is not thought to be an important et...