Asian Annals
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bagga, S.
Right arrow Articles by Bali, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bagga, S.
Right arrow Articles by Bali, H.

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Expanding Cardiac Vascular Mass: an Unusual Cause of Cardiomegaly

Shiv Bagga, MD, Hk Bali, PhD

Post Graduate Institute of Medical Education & Research, Chandigarh, India

Shiv Bagga, MD, Tel: +91 172 274 7585 Ext 6513, Fax: +91 172 274 4401, Email: shivbagga{at}gmail.com, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

A 20-year-old woman was admitted with atypical chest pain following blunt trauma. Serial chest radiographs demonstrated progressive cardiomegaly with mediastinal widening. Her electrocardiogram revealed dynamic ST-T changes in leads V4–V6. Two-dimensional transthoracic echocardiography showed no regional wall motion abnormality, cardiac chamber enlargement, or pericardial effusion; however, serum troponin I was elevated. Coronary angiography revealed a giant aneurysm of the proximal part of the left circumflex coronary artery (Figures 1Go and 2Go). Percutaneous coil closure was attempted unsuccessfully.


Figure 1
View larger version (180K):
[in this window]
[in a new window]

  		Figure 1. Coronary angiography in anteroposterior view, showing cardiomegaly with mediastinal widening.

 

Figure 2
View larger version (179K):
[in this window]
[in a new window]

  		Figure 2. Coronary angiography in left anterior oblique caudal ("spider") view, showing a giant aneurysm arising from the proximal left circumflex coronary artery.

 
Coronary aneurysms are extremely rare after blunt chest trauma and are usually associated with acute myocardial infarction through temporary occlusion of the injured vessel.1 Most cases involve the left anterior descending artery as the circumflex artery is protected well by the thoracic cavity.2 A giant circumflex coronary artery aneurysm secondary to blunt chest trauma has rarely been reported as a cause for mediastinal enlargement.

REFERENCES

  1. Westaby S, Drossos G, Giannopoulos N. Posttraumatic coronary artery aneurysm stephen. Ann Thorac Surg 1995;60:712–3.[Abstract/Free Full Text]

  2. Greenberg J, Salinger M, Weschler F, Edelman B, Williams R. Circumflex coronary artery dissection following waterskiing. Chest 1998;113:1138–40.[Medline]

Asian Cardiovasc Thorac Ann 2009; 17:218
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103337



This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bagga, S.
Right arrow Articles by Bali, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bagga, S.
Right arrow Articles by Bali, H.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS