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Right coronary artery aneurysm with aneurysmal dilation and thrombosis of the sinoatrial nodal branch mimicking a right atrial mass
Affiliation:1. Department of Radiology, New York University School of Medicine, New York, NY, USA;2. Department of Medicine, New York University School of Medicine, New York, NY, USA;3. Department of Medicine, Medstar Georgetown University Hospital, Medstar Heart Institute, 3800 Reservoir Rd, NW, 5PHC, Washington, DC 20007, USA;1. Department of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial Disease, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio;2. Department of Rheumatology, Cleveland Clinic, Cleveland, Ohio;3. Department of Anatomic Pathology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio;4. Cardiology Department, Maria Vittoria Hospital and Department of Public Health and Pediatrics, University of Torino, Torino, Italy;1. Department of Cardiology, Istanbul Mehmet Akif Ersoy Thoracic & Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey;2. Department of Radiology, Maltepe University School of Medicine, Istanbul, Turkey;3. Department of Radiology, Istanbul Mehmet Akif Ersoy Thoracic & Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey;4. Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic & Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey;5. Department of Cardiology, Dr. Siyami Ersek Thoracic & Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey;1. Department of Diagnostic Radiology, University Hospital Freiburg, Freiburg, Germany;2. Department of Cardiology Namborn Hospital, Namborn, Australia;3. Department of Cardiology, University of Erlangen, Erlangen, Germany;4. Department of Cardiology, McGill University, Montreal, QB, Canada;5. Department of Cardiovascular Surgery, Munich Heart Center, Munich, Germany;6. Institute for Cardiovascular Imaging, Weill-Cornell Medical College, New York, NY, USA;7. Division of Cardiovascular Radiology, University Heart-Center Freiburg–Bad Krozingen, Germany;8. Department of Radiology, St. Paul''s Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC V6S 1Y6, Canada;1. Department of Radiology, Cardiac CT/MR Unit, Rouen University Hospital, 1 rue de Germont, 76031 Rouen, France;2. Inserm U1096, Rouen, France;3. University of Rouen, Institute for Research and Innovation in Biomedicine, Rouen, France;4. Department of Cardiology, Rouen University Hospital, Rouen, France;1. Baptist Hospital of Miami and Baptist Cardiac and Vascular Institute, 8900 North Kendall Dr, Miami, FL 33176, USA;2. Astellas Scientific and Medical Affairs, Inc., Northbrook, IL, USA;3. Astellas Pharma Global Development, Inc., Northbrook, IL, USA;4. Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA
Abstract:Aneurysms of the branches of the coronary arteries are rare. We report a case of a right coronary artery aneurysm with aneurysmal dilation and thrombosis of the sinoatrial nodal branch presenting as a right atrial mass. The patient underwent multiple imaging evaluations before coronary CT angiography diagnosed aneurysm and thrombosis of the sinoatrial nodal branch.
Keywords:Cardiovascular computed tomography  Coronary artery aneurysm  Cardiac mass  Multimodality imaging  Magnetic resonance imaging  Echocardiography
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