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

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

Open Access
|Apr 2024

Figures & Tables

Video 1

Subcostal echocardiography view showing a rounded structure measuring 6.8 cm in diameter adjacent to and slightly compressing the right atrium; see also at https://youtube.com/shorts/k97OoTMpAbo.

Figure 1

Cardiac positron emission tomography showing a medium-sized, moderate-severity, partially reversible defect in the proximal and mid inferior and inferoseptal segments.

Video 2

Coronary angiogram showing an ectatic left coronary system and an incompletely opacified ectatic proximal right coronary artery; see also at https://youtube.com/shorts/0ssjghqx5sM.

Video 3

Cardiac computed tomography angiography sagittal view showing a giant retrosternal right coronary artery aneurysm extending from the proximal to distal segment, compressing the right atrium; see also at https://youtu.be/HMw3lXG_90c.

Figure 2

Late gadolinium enhancement cardiac magnetic resonance imaging showing left ventricular subendocardial scar in the basal and mid inferior and inferoseptal walls consistent with right coronary artery related myocardial infarction.

DOI: https://doi.org/10.14797/mdcvj.1287 | Journal eISSN: 1947-6108
Language: English
Page range: 14 - 17
Submitted on: Feb 6, 2024
Accepted on: Feb 10, 2024
Published on: Apr 5, 2024
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2024 Moath Said Alfawara, Vivek Modi, Min-Fang Chao, Malek Nayfeh, Fares Alahdab, Mahmoud Alrifai, Mouaz Al-Mallah, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.