LARGE RIGHT CORONARY ANEURYSM DEVELOPING WITHIN 4 YEARS

The authors report the case of a 64 year old man on chronic haemodialy sis therapy in whom coronary angiography showed a right coronary arter y aneurysm. This patient had undergone coronary angiography 4 years pr eviously and no aneurysm had been found on that occasion. The aneurysm occurred in the context of coronary atherosclerosis, coronary angiogr aphy showing typical appearances of double vessel disease. There were several special features of this aneurysm which contribute to the orig inality of the case : its rapid development within 4 years, its large size and the fact that it was an isolated finding on the right coronar y artery. Several aetiologies are discussed but none can be formally c onfirmed.