Year : 2012  |  Volume : 15  |  Issue : 3  |  Page : 240--243

Giant right coronary artery aneurysm with unusual physiology: Role of intraoperative transesophageal echocardiography


David M Orozco, Mauricio Abello, Javier Osorio, Ivan Melgarejo 
 Department of Anaesthesia, Non Invasive Cardiology Department, Fundación Clínica Shaio, Diagonal 115A N 70c 75, Bogotá, Colombia

Correspondence Address:
David M Orozco
Fundación Clínica Shaio, Diagonal 115A N 70c 75, Department of Anaesthesia, Bogotá
Colombia

A 65-year-old woman presented with a history of dyspnea and atypical chest pain. She was diagnosed with a non-ST-segment elevation myocardial infarction due to a giant right coronary artery aneurysm. After a failed percutaneous embolization, she was scheduled for right coronary artery aneurysm resection, posterior descending artery revascularization and mitral valve repair. During the induction of anesthesia and institution of mechanical ventilation, the patient suffered cardiovascular collapse. The transesophageal echocardiographic examination revealed tamponade physiology owing to compression of the cardiac chambers by the unruptured aneurysm, which resolved with the sternotomy. The surgery was carried out uneventfully.


How to cite this article:
Orozco DM, Abello M, Osorio J, Melgarejo I. Giant right coronary artery aneurysm with unusual physiology: Role of intraoperative transesophageal echocardiography.Ann Card Anaesth 2012;15:240-243


How to cite this URL:
Orozco DM, Abello M, Osorio J, Melgarejo I. Giant right coronary artery aneurysm with unusual physiology: Role of intraoperative transesophageal echocardiography. Ann Card Anaesth [serial online] 2012 [cited 2021 Aug 3 ];15:240-243
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=3;spage=240;epage=243;aulast=Orozco;type=0