We report a case of a 54-year-old woman presenting with nonspecific chest pain and clinical symptoms of heart failure. Various diagnostic tools, including both noninvasive methods and coronary angiography, revealed the presence of a giant aneurysm of the right coronary artery. The aneurysm formed a mediastinal mass of a huge size, with blood flow in it, and caused cardiac displacement within the thorax cavity. Surgical management of this anomaly was effective. Aetiology, clinical symptoms, diagnostic tools and treatment options of coronary artery aneurysms are discussed.
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