Tumor Encasement of the Right Coronary Artery: Role of Anatomic and Functional Imaging in Diagnosis and Therapeutic Management

Yu-Hsiang Juan1, 2, Yiannis S Chatzizisis*, 1, 3, Sachin S Saboo1, Tatiana Rocha1, Michael L Steigner1
1 Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
2 Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan
3 Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

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© Juan et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Non-invasive Cardiovascular Imaging Program, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA; Tel: +1 857 234 2604; Fax: +1 857 307 2011; E-mail: ychatzizisis@partners.org


We presented two rare cases of mediastinal tumor encasing the right coronary artery (RCA), one with recurrent metastatic thymoma and another with primary poorly differentiated neoplasm. Different degrees and locations of RCA involvement were noted. The treatment approach varied from conservative to surgical. Coronary artery involvement by mediastinal tumors is important to be investigated with imaging as it may guide the surgical planning.

Keywords: Computed Tomography, Right Coronary Artery, Tumor, Vascular Encasement..