https://doi.org/10.4081/monaldi.2021.2048
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium
Submitted: August 12, 2021
Accepted: September 13, 2021
Published: November 22, 2021
Accepted: September 13, 2021
Abstract Views: 742
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac device. We present a case of difficult pacemaker implantation in a patient with 3 syncopes, first-degree AV block and complete left bundle branch block on electrocardiogram. The patient presented a giant aneurysm of the right coronary artery (85 x 90 mm), thrombosed, with right atrial compression. The pacemaker implantation was hampered by the difficulty of passing the lead through the compressed right atrium; indeed, only with simultaneous echocardiographic and fluoroscopic guidance, was it possible to complete the procedure. This case demonstrates the utility of echocardiogram, in particular settings, in cardiac stimulation procedures.
Tuncer E, Onsel Turk U, Alioglu E. Giant saccular aneurysm of the left main coronary artery. J Geriatr Cardiol 2013;10:110-2.
Kawsara A, Núñez Gil IJ, Alqahtani F, et al. Management of coronary artery aneurysms. JACC Cardiovasc Interv 2018;11:1211–23.
DOI: https://doi.org/10.1016/j.jcin.2018.02.041
Banerjee P, Houghton T, Walters M, Kaye GC. Giant right coronary artery aneurysm presenting as a mediastinal mass. Heart 2004;90:e50.
DOI: https://doi.org/10.1136/hrt.2002.002519
Rognoni A, Degiovanni A, Cavallino C F, et al. Giant aneurysm of the right coronary artery: an unusual treatment . G Ital Cardiol 2015;16:250-3.
DOI: https://doi.org/10.2459/JCM.0b013e3283629cc2
Luo Y, Tang J, Liu X, Qiu J F, et al. Coronary artery aneurysm differs from coronary artery ectasia: angiographic characteristics and cardiovascular risk factor analysis in patients referred for coronary angiography. Angiology 2017;68:823–30.
DOI: https://doi.org/10.1177/0003319716665690
Demopoulos VP, Olympios CD, Fakiolas CN, et al. The natural history of aneurysmal coronary artery disease. Heart 1997;78:136-41.
DOI: https://doi.org/10.1136/hrt.78.2.136
Endo A, Ohtahara A, Kinugawa T, et al. Characteristics of cardiac myxoma with constitutional signs: multicenter study in Japan. ClinCardiol 2002;25:367–70.
DOI: https://doi.org/10.1002/clc.4950250805
Vijayaraman P, Panikkath R. Intracardiac echocardiography-guided left bundle branch pacing in a patient with tricuspid valve replacement. J Cardiovasc Electrophysio. 2019;30:2525-7.
DOI: https://doi.org/10.1111/jce.14205
Tan K, Deng X, Wang S, et al. Transthoracic echocardiography-guided left bundle branch pacing without fluoroscopic guidance: A case report. J Clin Ultrasound 2021;49:74-7.
DOI: https://doi.org/10.1002/jcu.22830
Alioglu E, Turk UO, Engin C, et al. Left main coronary artery aneurysm in young patient with acute myocardial infarction. J Cardiovasc Med 2009;10:494-6.
DOI: https://doi.org/10.2459/JCM.0b013e3283293349
Halapas A, Lausberg H, Gehrig T, et al. Giant right coronary artery aneurysm in an adult male patient with non-ST myocardial infarction. Hellenic J Cardiol 2013;54:69-76.
Ng CY, Stevens S, Buch M, et al. Giant saphenous vein graft aneurysm causing left atrial compression and cardiogenic shock. Rev Cardiovasc Med 2010;11:e170-5.
Hudzik B, Glowacki J, Szkodzinski J, et al. Giant saphenous vein graft pseudoaneurysm compressing the right atrium and right ventricle and presenting as decompensated heart failure. Can J Cardiol 2011;27:390.e9-11.
DOI: https://doi.org/10.1016/j.cjca.2010.12.028
Krishnasamy P, Gillespie JS, McGlinchey PG, et al. Giant true saphenous vein graft aneurysm causing cardiac compression: a rare cause of atrial flutter. Int J Cardiol 2007;121:317-9.
DOI: https://doi.org/10.1016/j.ijcard.2006.11.006
How to Cite
Maffè, Stefano, Paola Paffoni, Luca Bergamasco, Eleonora Prenna, Giulia Careri, Emanuela Facchini, Lara Baduena, Nicolò Franchetti Pardo, and Pierfranco Dellavesa. 2021. “A Challenging Pacemaker Implantation in the Presence of a Giant Right Coronary Aneurysm Compressing the Right Atrium”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.2048.
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