{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:57Z","timestamp":1753893297893,"version":"3.41.2"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T00:00:00Z","timestamp":1647561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Coronary artery aneurysm (CAA) is a localized coronary artery dilatation that exceeds 1. 5 times the diameter of a standard adjacent segment or the largest coronary vessel. When the expansion is &amp;gt; 2 cm, it is called a \u201cgiant\u201d coronary artery aneurysm. Giant coronary artery aneurysm rupture is extremely rare and fatal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>We present a rare case of a 27 years old male with a giant coronary artery aneurysm rupture, but no catastrophic events occurred immediately. He was initially misdiagnosed as having a mediastinal mass with CT (computed tomography). The cardiac ultrasound showed no pericardial effusion. But The cardiac CTA (computed tomography angiography) showed a giant coronary aneurysm rupture with hematoma formation. He eventually underwent surgery and was followed up for 2 months without complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We report this case of a ruptured giant coronary aneurysm because of its infrequent occurrence in coronary artery disease. It is tough to distinguish this disease from a mediastinal tumor, and chest MRI and cardiac CTA are crucial tests. Finally, surgical resection may be the right choice for coronary aneurysm rupture. More cases need to be reported to facilitate the preoperative diagnosis of this rare coronary aneurysm.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.812850","type":"journal-article","created":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T06:13:50Z","timestamp":1647584030000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Not a Mediastinal Mass! a Ruptured Giant Coronary Aneurysm That Occurred in a Young Man"],"prefix":"10.3389","volume":"9","author":[{"given":"Peng","family":"Yao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi-Jie","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-dan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1161\/01.CIR.67.1.134","article-title":"Aneurysmal coronary artery disease","volume":"67","author":"Swaye","year":"1983","journal-title":"Circulation."},{"key":"B2","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1016\/j.jtcvs.2005.04.004","article-title":"Surgical treatment of giant coronary artery aneurysm","volume":"130","author":"Li","year":"2005","journal-title":"J Thorac Cardiovasc Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/0002-8703(75)90114-3","article-title":"Atherosclerotic ulcerative disease and associated aneurysms of the coronary arteries","volume":"90","author":"Berkoff","year":"1975","journal-title":"Am Heart J."},{"key":"B4","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/S0140-6736(06)69112-5","article-title":"Giant coronary aneurysm obstructing the right heart","volume":"368","author":"Augustin","year":"2006","journal-title":"Lancet."},{"key":"B5","doi-asserted-by":"publisher","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":"2020","journal-title":"Arch Cardiovasc Dis."},{"key":"B6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1055\/s-0039-1688467","article-title":"Coronary aneurysm: an enigma wrapped in a mystery","volume":"7","author":"Carino","year":"2019","journal-title":"Aorta."},{"key":"B7","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1016\/S0003-4975(01)03165-4","article-title":"Ruptured right coronary artery aneurysm presenting as a myocardial mass","volume":"73","author":"Berrizbeitia","year":"2002","journal-title":"Ann Thorac Surg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1016\/j.athoracsur.2003.06.015","article-title":"Rupture of a giant coronary artery aneurysm due to Kawasaki disease","volume":"78","author":"Hwong","year":"2004","journal-title":"Ann Thorac Surg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1177\/021849230601400516","article-title":"Cardiac tamponade due to spontaneous rupture of large coronary artery aneurysm","volume":"14","author":"Kimura","year":"2006","journal-title":"Asian Cardiovasc Thorac Ann."},{"key":"B10","doi-asserted-by":"publisher","first-page":"e119","DOI":"10.1016\/j.jccase.2011.02.001","article-title":"Spontaneous rupture of a giant coronary artery aneurysm causing cardiac tamponade: a case report","volume":"3","author":"Hiramori","year":"2011","journal-title":"J Cardiol Cases."},{"key":"B11","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1007\/s00380-012-0279-9","article-title":"Cardiac tamponade due to rupture of coronary artery fistula to the coronary sinus with giant aneurysm of coronary artery: usefulness of transthoracic echocardiography","volume":"28","author":"Yoshino","year":"2013","journal-title":"Heart Vessels."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e5445","DOI":"10.1097\/MD.0000000000005445","article-title":"Bilateral coronary artery fistulas with a giant coronary aneurysm complicated by aneurysm rupture: a case report","volume":"95","author":"Li","year":"2016","journal-title":"Medicine."}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.812850\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T06:13:53Z","timestamp":1647584033000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.812850\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,18]]},"references-count":12,"alternative-id":["10.3389\/fsurg.2022.812850"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.812850","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2022,3,18]]},"article-number":"812850"}}