{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T02:31:12Z","timestamp":1775010672676,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Coronary artery aneurysms are defined as a focal dilatation exceeding 1.5 times the diameter of the adjacent normal segment. They are found in up to 5% of patients undergoing coronary angiography. Giant coronary artery aneurysms (GCAAs), typically defined as &amp;gt;20\u00a0mm in diameter, with an incidence of \u20530.02%. We present the case of an 82-year-old female who underwent coronary artery bypass grafting due to a giant right coronary artery aneurysm measuring 85\u00a0mm, identified on preoperative contrast-enhanced computed tomography (CT). The patient exhibited symptoms consistent with pericardial irritation secondary to aneurysms size and was found to have significant right heart compression. Surgical intervention included opening and resection of the aneurysmal sac and bypassing the affected segment using a saphenous vein graft. Intraoperatively, it was discovered that the aneurysm wall was dissected, with a high risk of rupture. This case highlights the importance of timely recognition and surgical management of GCAAs.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf570","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T14:22:25Z","timestamp":1753453345000},"source":"Crossref","is-referenced-by-count":1,"title":["Giant right coronary artery aneurysm with associated dissection: diagnosis and surgical management"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0734-5849","authenticated-orcid":false,"given":"Henri","family":"Bartolozzi","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Galway , Newcastle Rd, Galway, H91YR71 ,","place":["Ireland"]},{"name":"Faculty of Medicine, Trakia University , Armeyska St 11, Stara Zagora, 6000 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darragh","family":"Rice","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Galway , Newcastle Rd, Galway, H91YR71 ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikaela","family":"Forde","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Galway , Newcastle Rd, Galway, H91YR71 ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Bartolozzi","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Galway , Newcastle Rd, Galway, H91YR71 ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"2025072510221406600_ref1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.acvd.2019.10.008","article-title":"Giant coronary aneurysms, from diagnosis to treatment: a literature review","volume":"113","author":"Pham","year":"2019","journal-title":"Arch Cardiovasc Dis"},{"key":"2025072510221406600_ref2","doi-asserted-by":"publisher","first-page":"446","DOI":"10.4330\/wjc.v13.i9.446","article-title":"Coronary artery aneurysm: a review","volume":"13","author":"Matta","year":"2021","journal-title":"World J Cardiol"},{"key":"2025072510221406600_ref3","author":"Brilakis"},{"key":"2025072510221406600_ref4","doi-asserted-by":"publisher","first-page":"101","DOI":"10.4103\/HEARTVIEWS.HEARTVIEWS_1_19","article-title":"Coronary artery aneurysm: evaluation, prognosis, and proposed treatment strategies","volume":"20","author":"Sheikh","year":"2019","journal-title":"Heart Views"},{"key":"2025072510221406600_ref5","doi-asserted-by":"publisher","first-page":"e220254","DOI":"10.1148\/ryct.220254","article-title":"Dissection of a giant coronary aneurysm, radiology","volume":"5","author":"Hack","year":"2023","journal-title":"Radiol Cardiothorac Imaging"},{"key":"2025072510221406600_ref6","doi-asserted-by":"publisher","first-page":"603","DOI":"10.14503\/THIJ-13-3896","article-title":"Giant coronary artery aneurysms: review and update","volume":"41","author":"Crawley","year":"2014","journal-title":"Tex Heart Inst J"},{"key":"2025072510221406600_ref7","first-page":"244","article-title":"Multiple giant coronary artery aneurysms","volume":"36","author":"Marla","year":"2009","journal-title":"Tex Heart Inst J"},{"key":"2025072510221406600_ref8","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1093\/icvts\/ivt282","article-title":"Surgical treatment for coronary artery aneurysm: a single-Centre experience","volume":"17","author":"Singh","year":"2013","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf570\/63851489\/rjaf570.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf570\/63851489\/rjaf570.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T14:22:26Z","timestamp":1753453346000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf570\/8213512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf570","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf570"}}