• J Emerg Med · Jan 2023

    No Ordinary Coronary: A Case Series of Two Large Coronary Artery Aneuryms Found on Chest X-Ray.

    • Aleksandra Degtyar, Thomas Cole Baker, and Mohan Punja.
    • Emergency Department, Wellstar Kennestone Regional Medical Center, Marietta, GA.
    • J Emerg Med. 2023 Jan 1; 64 (1): 475047-50.

    BackgroundPost-procedural coronary aneurysms can have high morbidity and mortality. Although found more commonly on ultrasound or computed tomography imaging, if large enough, they may appear on chest x-ray studies.Case ReportsWe present two cases of coronary artery aneurysm visible on chest x-ray study-one originating from a saphenous vein graft and the other a left anterior descending artery pseudoaneurysm 1 week post heart catheterization. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important for emergency physicians to recognize abnormal chest x-ray studies and to look for post-procedural complications, such as coronary artery aneurysm. Coronary artery aneurysm can be a potentially life-threatening condition requiring prompt recognition and surgical consultation.Copyright © 2022 Elsevier Inc. All rights reserved.

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