Rupture of a giant coronary artery aneurysm due to Kawasaki disease

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Presentation transcript:

Rupture of a giant coronary artery aneurysm due to Kawasaki disease Thomas M.T Hwong, FRCS, Ahmed A Arifi, MD, Innes Y.P Wan, FRCS, K.H Thung, FRCS, Song Wan, MD, PhD, Rita Y.T Sung, MD, Anthony P.C Yim, MD The Annals of Thoracic Surgery Volume 78, Issue 2, Pages 693-695 (August 2004) DOI: 10.1016/j.athoracsur.2003.06.015

Fig 1 (A) An echocardiogram showing a giant aneurysm arising from the origin of the right coronary artery (RCA) measures 18.0 mm (long white line). The origin of the left coronary artery (LCA), also dilated, measures 4.7 mm (short white line). The aortic root (Ao), right ventricle (RV), and the left atrium (LA) are shown. (B) A sagittal section of the magnetic resonance angiogram demonstrating a giant coronary aneurysm (white arrows) arising from the RCA. The Ao, RV, LA, and the diaphragm (Dia) are shown. The Annals of Thoracic Surgery 2004 78, 693-695DOI: (10.1016/j.athoracsur.2003.06.015)

Fig 2 (A) The anesthesiologist's view during the operation showing aneurysmal dilation of the coronary artery (A) and the point of rupture (arrows). (B) The anesthesiologist's view showing the resected coronary aneurysm (black arrows) and the patent venous graft (white arrows). The Annals of Thoracic Surgery 2004 78, 693-695DOI: (10.1016/j.athoracsur.2003.06.015)