Lesson 1 of 0
In Progress

Findings and diagnosis

Findings

  • ECG-gated unenhanced CT of the heart: Focal dilatation of the midright coronary artery.
  • ECG-gated CTA of the heart: Focal dilatation of the mid-RCA with the transverse diameter measuring greater than the longitudinal diameter, which in keeping with a saccular aneurysm. There is an associated layering thrombus in the aneurysm without critical stenosis.

Differential diagnosis

  • Pseudoaneurysm
  • Giant coronary artery aneurysm
  • Fusiform aneurysm
  • Saccular aneurysm

Diagnosis: Saccular aneurysm of the right coronary artery