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

Published:September 13, 2022DOI:https://doi.org/10.1016/j.jemermed.2022.09.020

      Abstract

      Background

      Post-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 Reports

      We 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.

      Keywords

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