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European Journal of Echocardiography 2004 5(4):308-312; doi:10.1016/j.euje.2004.02.003
© 2004 by European Society of Cardiology
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Copyright © 2004, The European Society of Cardiology

Coronary artery aneurysms mimicking cardiac tumor

Ole-Gunnar Anfinsena,*, Lars Aabergea, Odd Geiranb, Hans-Jørgen Smithc and Svend Aakhusa

aDepartment of Cardiology, Rikshospitalet University Hospital, N-0027 Oslo, Norway
bDepartment of Cardiothoracic Surgery, Rikshospitalet University Hospital, N-0027 Oslo, Norway
cDepartment of Radiology, Rikshospitalet University Hospital, N-0027 Oslo, Norway.

Received 4 December 2003; received in revised form 24 February 2004; accepted after revision 24 February 2004.

ole-gunnar.anfinsen{at}rikshospitalet.no

* Corresponding author. Tel.: +47-23-07-00-00; fax: +47-23-07-39-17.


   Abstract

Aims: To discuss the diagnosis of giant coronary aneurysms.

Methods and results: We describe three patients in whom initial echocardiographic findings suggested cardiac tumors in the right atrium. Additional examination proved the tumor-like structures to be giant atherosclerotic coronary aneurysms of either the right coronary artery or its saphenous vein coronary bypass graft.

Conclusion: Giant coronary aneurysms are an important differential diagnosis for cardiac tumors.

Keywords: Coronary aneurysms; Cardiac tumors; Echocardiography; Cardiac imaging; Coronary atherosclerosis


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