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Ann Thorac Surg 2002;73:971-973
© 2002 The Society of Thoracic Surgeons

Case report

Ruptured right coronary artery aneurysm presenting as a myocardial mass

Luis D. Berrizbeitia, MD*a, Louis E. Samuels, MDa

a Department of Cardiothoracic Surgery, Hahnemann University Hospital, MCP—Hahnemann University School of Medicine, Philadelphia, Pennsylvania, USA

Accepted for publication July 20, 2001.

* Address reprint requests to Dr Berrizbeitia, Division of Cardiothoracic Surgery, Graduate Hospital, Pepper Pavilion, Suite 1100, 1800 Lombard St, Philadelphia, PA 19146, USA
e-mail: ldberriz{at}ctsx.net

Rupture of a coronary artery aneurysm may result in a contained hematoma and an intramyocardial mass. We present a case of a contained coronary artery aneurysm rupture presenting as a mass in the right ventricle. The mass was suspected in a preoperative transthoracic echocardiogram and identified at the time of elective coronary artery bypass surgery. We discuss the pathophysiology, clinical presentation, diagnostic features, and management of this uncommon clinical presentation.




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