Left Upper Extremity Pain, Right Coronary Artery Culprit: A Puzzling Path to Aneurysm Discovery

Moath Said Alfawara; Vivek Modi; Min Fang Chao; Malek Nayfeh; Fares Alahdab; Mahmoud Alrifai; Mouaz Al-Mallah

doi:10.14797/mdcvj.1287

Left Upper Extremity Pain, Right Coronary Artery Culprit: A Puzzling Path to Aneurysm Discovery

Moath Said Alfawara, Vivek Modi, Min Fang Chao, Malek Nayfeh, Fares Alahdab, Mahmoud Alrifai, Mouaz Al-Mallah

Research output: Contribution to journal › Article › peer-review

Abstract

Giant coronary artery aneurysm (GCA) is a rare disease afflicting 0.2% of the population. It is primarily attributed to atherosclerosis in adults and Kawasaki disease in children. Other uncommon etiologies include Takayasu arteritis and post-percutaneous coronary intervention.^1,2 GCA lacks a universally accepted definition, with proposed criteria including a diameter exceeding 2 cm, 5 cm, or four times the normal vessel size.³ While the majority of GCAs are asymptomatic, a subset of patients present with angina, myocardial infarction from embolization or compression, heart failure due to fistula formation, or even sudden death.¹ We report a case of an adult harboring a GCA involving the right coronary artery.

Original language	English (US)
Pages (from-to)	14-17
Number of pages	4
Journal	Methodist DeBakey cardiovascular journal
Volume	20
Issue number	1
DOIs	https://doi.org/10.14797/mdcvj.1287
State	Published - 2024

Keywords

atherosclerosis
giant coronary artery aneurysm
multimodality cardiac imaging
right coronary artery
Pain
Humans
Atherosclerosis
Adult
Upper Extremity
Child
Coronary Vessels
Coronary Aneurysm/diagnostic imaging

ASJC Scopus subject areas

General Medicine

Access to Document

10.14797/mdcvj.1287

Cite this

@article{13f5e6f94dd4466a9127ef8e6a324f3a,

title = "Left Upper Extremity Pain, Right Coronary Artery Culprit: A Puzzling Path to Aneurysm Discovery",

abstract = "Giant coronary artery aneurysm (GCA) is a rare disease afflicting 0.2\% of the population. It is primarily attributed to atherosclerosis in adults and Kawasaki disease in children. Other uncommon etiologies include Takayasu arteritis and post-percutaneous coronary intervention.1,2 GCA lacks a universally accepted definition, with proposed criteria including a diameter exceeding 2 cm, 5 cm, or four times the normal vessel size.3 While the majority of GCAs are asymptomatic, a subset of patients present with angina, myocardial infarction from embolization or compression, heart failure due to fistula formation, or even sudden death.1 We report a case of an adult harboring a GCA involving the right coronary artery.",

keywords = "atherosclerosis, giant coronary artery aneurysm, multimodality cardiac imaging, right coronary artery, Pain, Humans, Atherosclerosis, Adult, Upper Extremity, Child, Coronary Vessels, Coronary Aneurysm/diagnostic imaging",

author = "Alfawara, \{Moath Said\} and Vivek Modi and Chao, \{Min Fang\} and Malek Nayfeh and Fares Alahdab and Mahmoud Alrifai and Mouaz Al-Mallah",

note = "Copyright: {\textcopyright} 2024 The Author(s).",

year = "2024",

doi = "10.14797/mdcvj.1287",

language = "English (US)",

volume = "20",

pages = "14--17",

journal = "Methodist DeBakey cardiovascular journal",

issn = "1947-6094",

publisher = "Houston Methodist Debakey Heart and Vascular Center",

number = "1",

}

TY - JOUR

T1 - Left Upper Extremity Pain, Right Coronary Artery Culprit

T2 - A Puzzling Path to Aneurysm Discovery

AU - Alfawara, Moath Said

AU - Modi, Vivek

AU - Chao, Min Fang

AU - Nayfeh, Malek

AU - Alahdab, Fares

AU - Alrifai, Mahmoud

AU - Al-Mallah, Mouaz

PY - 2024

Y1 - 2024

N2 - Giant coronary artery aneurysm (GCA) is a rare disease afflicting 0.2% of the population. It is primarily attributed to atherosclerosis in adults and Kawasaki disease in children. Other uncommon etiologies include Takayasu arteritis and post-percutaneous coronary intervention.1,2 GCA lacks a universally accepted definition, with proposed criteria including a diameter exceeding 2 cm, 5 cm, or four times the normal vessel size.3 While the majority of GCAs are asymptomatic, a subset of patients present with angina, myocardial infarction from embolization or compression, heart failure due to fistula formation, or even sudden death.1 We report a case of an adult harboring a GCA involving the right coronary artery.

AB - Giant coronary artery aneurysm (GCA) is a rare disease afflicting 0.2% of the population. It is primarily attributed to atherosclerosis in adults and Kawasaki disease in children. Other uncommon etiologies include Takayasu arteritis and post-percutaneous coronary intervention.1,2 GCA lacks a universally accepted definition, with proposed criteria including a diameter exceeding 2 cm, 5 cm, or four times the normal vessel size.3 While the majority of GCAs are asymptomatic, a subset of patients present with angina, myocardial infarction from embolization or compression, heart failure due to fistula formation, or even sudden death.1 We report a case of an adult harboring a GCA involving the right coronary artery.

KW - atherosclerosis

KW - giant coronary artery aneurysm

KW - multimodality cardiac imaging

KW - right coronary artery

KW - Pain

KW - Humans

KW - Atherosclerosis

KW - Adult

KW - Upper Extremity

KW - Child

KW - Coronary Vessels

KW - Coronary Aneurysm/diagnostic imaging

UR - https://www.scopus.com/pages/publications/85190901126

UR - https://www.scopus.com/inward/citedby.url?scp=85190901126&partnerID=8YFLogxK

U2 - 10.14797/mdcvj.1287

DO - 10.14797/mdcvj.1287

M3 - Article

C2 - 38618608

AN - SCOPUS:85190901126

SN - 1947-6094

VL - 20

SP - 14

EP - 17

JO - Methodist DeBakey cardiovascular journal

JF - Methodist DeBakey cardiovascular journal

IS - 1

ER -

Left Upper Extremity Pain, Right Coronary Artery Culprit: A Puzzling Path to Aneurysm Discovery

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this