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British Journal of Radiology (2007) 80, e64-e66
© 2007 British Institute of Radiology
doi: 10.1259/bjr/54677520
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Case report

Search your heart for a cause of syncope!

Ch C Fessas, MRCS(Eng), BSc(Hons), E K Mayer, MRCS(Eng), BSc(Hons) and C D Fessas, MD, FACC, FESC

Nicosia Heart Institute, 22 Heras St. and Archbishop Makarios Avenue, 1061 Nicosia, Cyprus

Correspondence: Mr Christian C Fessas, Nicosia Heart Institute, 22 Heras St. and Archbishop Makarios Avenue, 1061 Nicosia, Cyprus. E-mail: plastic_surgeon{at}hotmail.com.

A 66-year-old female presented to casualty with recurrent syncopal episodes and a history of ischaemic heart disease. Initial investigations did not provide a definitive diagnosis. Subsequent CT scanning identified a giant pseudoaneurysm of the left anterior descending coronary artery, which is the largest reported to date. We include a short discussion on current literature surrounding coronary artery pseudoaneurysmal disease.






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