Cardiac #3

Clinical Data: 70-year-old male, asymptomatic, incidental finding on chest X-ray

What are the findings:

What are the findings:

Enlargement of the left coronary artery (LAD) and right coronary artery (RCA) with peripheral thrombus
within both vessels diagnostic of coronary artery aneurysms.

What is the most likely diagnosis:

What is the most likely diagnosis?

Coronary artery aneurysm:

Definition: coronary dilatation which exceeds the diameter of normal adjacent segments or the diameter of the patient’s largest coronary vessel by 1.5 times
Etiology: Atherosclerosis, genetic, autoimmune/inflammatory, infectious
Clinical Presentation: mostly clinically silent
Complications: local thrombosis > distal embolization and myocardial infarction; aneurysm rupture > cardiac tamponade; myocardial stenosis
Treatment: percutaneous or surgical

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