Surgical treatment of giant coronary artery aneurysm

Surgical treatment of coronary artery aneurysm with coronary artery fistula.

Coronary artery aneurysm (CAA) is an uncommon disease with an incidence of 1%-5% in evaluated patients. Atherosclerosis is its most common etiology in adults, occurring in 50% of cases. Also, CAA is associated with predisposing factors such as Kawasaki disease, stent-angioplasty, and notably, coronary artery fistula. Most CAAs are asymptomatic but occasionally lead to life-threatening condition...

Surgical Repair of an Asymptomatic Giant Right Coronary Artery Aneurysm

Background Coronary artery aneurysm (CAA) is a rare finding, being mostly diagnosed on angiography or at autopsies. It is defined as being a dilation of the coronary artery that exceeds the diameter of the patient's largest coronary vessel by 1.5 to 2 times. Case Report We describe the operative correction of a giant right CAA measuring in excess of 10 cm. Conclusion Management of giant CAAs is...

Surgical management of a giant right coronary artery aneurysm.

Coronary artery aneurysm (CAA) is a rare entity, defined as localized dilation that exceeds the normal vessel diameter by a factor of 1.5. A giant CAA is described as a very large dilation, when diameter exceeds 20 mm. CAA has a prevalence of 0.02% [Markis 1976]. Different factors may lead to CAA formation, including Kawasaki disease, atherosclerosis, congenital malformations, autoimmune and in...

Surgical treatment of giant extracranial internal carotid artery aneurysm.

Surgical treatment of a giant unruptured left sinus of Valsava aneurysm requiring coronary artery bypass grafting

The present article describes a case involving a 74-year-old woman who presented with atypical chest pain and was found to have a giant aneurysm of the left sinus of Valsalva. Computed tomography coronary angiography performed before surgery showed a left main stem arising from the superior aspect of the left coronary sinus (stretched superiorly over, but not within, the aneurysm sac). The pati...