case_images: PMC11757244_01
case_images: PMC11757244_02
case_images: Echocardiography findings (A,B). Enlarged atrium and ventricle (left atrium 44 x 35 mm, right atrium 38 mm, left ventricle 44 mm, right ventricle 16 mm), (C) Giant right coronary artery aneurysm (6.0 mm) and thrombosis (red arrow), (D) Left coronary artery aneurysm (9.5 mm), (E) Giant Valsalva sinus aneurysm (60 mm), (F) Ascending aorta dilation (35 mm).
case_images: fped-12-1480297-g001.jpg
case_images: PMC11757244_02_fped-12-1480297-g001.jpg
case_images: F1
case_images: An echocardiographic examination revealed an enlarged atrium and ventricle (left atrium 44 x 35 mm, right atrium 38 mm, left ventricle 44 mm, right ventricle 16 mm), a giant CAA (RCA 6.0 mm [z score, 8.55]; LCA 9.5 mm [z score, 11.64]) and thrombosis, a giant Valsalva sinus aneurysm (inner diameter, 60 mm), and ascending aorta dilation (inner diameter, 35 mm) (Figure 1).
case_images: Cardiac computed tomography angiography findings. (A) Right coronary sinus aneurysm (23 mm x 17 mm, red arrow), (B) Left coronary sinus aneurysm (41 mm x 29 mm, red arrow), (C) Non-coronary sinus aneurysm (35 mm x 39 mm, red arrow) compressing the left atrium; (D) Right coronary artery aneurysm (7.9 mm, red arrow), thrombosis and calcifications in the distal right coronary artery; (E-G). Left main coronary artery aneurysm (LMCA, 7.5 mm), LAD (3 mm) and LCX (5 mm); (H) Dilated ascending aorta (36 mm, red arrow); (I). Giant Valsalva sinus aneurysm (60 mm).
case_images: fped-12-1480297-g002.jpg
case_images: PMC11757244_02_fped-12-1480297-g002.jpg
case_images: F2
case_images: A cardiac computed tomography angiography (CCTA) further showed an enlarged left ventricle, a dilated ascending aorta (36 mm), a right coronary sinus aneurysm (23 mm x 17 mm), a non-coronary sinus aneurysm (35 mm x 39 mm) compressing the left atrium, a left coronary sinus aneurysm (41 mm x 29 mm); an RCA aneurysm [7.9 mm (z score, 11.86)], thrombosis and calcifications in the distal right coronary artery; a left main coronary artery aneurysm [LMCA, 7.5 mm (z score, 9.19)], a LAD [3 mm (z score, 2.51)], and an LCX [5 mm (z score, 6.13)] (Figure 2); and absence of coronary-pulmonary artery fistulas.
case_images: Clinical course of this patient.
case_images: fped-12-1480297-g003.jpg
case_images: PMC11757244_02_fped-12-1480297-g003.jpg
case_images: F3
case_images: During our subsequent follow-up visit, the girl subsequently passed away (Figure 3).