A 31-year-old patient with symptoms suggesting acute myocardial infarction and subsequently found to have a large aneurysm of the circumflex branch of the left coronary artery is presented. This is thought to represent the first patient treated by resection and grafting of a coronary artery aneurysm by use of an interposed saphenous vein graft. The aneurysm was filled with friable blood clots, ...

The case of a 22-year old male patient who presented with a congenital coronary arterial fistula from the right coronary artery to the right ventricle is described. The arterial fistula had led to an aneurysm of the right sinus of Valsalva and the proximal right coronary artery. The aneurysm was incised from the aorta and the fistula closed with a pericardial patch. The diameter of the aneurysm...

early after everolimus-eluting stent implantation. J Invasive Cardiol 2008;20: E174–5. [3] Rychter M, Radomski M, Sukiennik A, Serafin Z, Kozinski M, Kubica J. Coronary artery aneurysm after implantation of an endothelial progenitor cell capturing stent. Kardiol Pol 2012;70:641–4. [4] Feng T, Yundai C, Hongbin L, Lian C, Zhijun S, Jun G et al. Evaluation neointimal coverage in patients with cor...

We report the case of a patient with a huge interatrial septal aneurysm as an intraoperative coincidental finding that led to a fatal outcome. The patient was admitted to our hospital in order to undergo elective coronary artery bypass grafting because he suffered from severe coronary artery disease. We intraoperatively diagnosed by transesophageal echocardiography a huge interatrial septal ane...

Coronary artery aneurysm (CAA), defined as dilatation of the coronary artery exceeding 50% of the reference vessel diameter, is uncommon and occurs in 5% of coronary angiographic series.1 CAAs are termed giant if their diameter exceeds the reference vessel diameter by 4 times or if they are 8 mm in diameter.2 Atherosclerosis accounts for the vast majority of CAAs in adults, whereas Kawasaki dis...

A 42 years, hypertensive lady presented with chest pain of 2 hours duration. On examination, her vital parameters were settled and there was no gross cardiovascular abnormality. Electrocardiogram showed acute anterior myocardial infarction. Troponin I was positive for myocardial necrosis. Transthoracic echocardiogram revealed hypokinetic left ventricular apex and apical half of interventricular...

BACKGROUND The long-term clinical issue in Kawasaki disease (KD) concerns the coronary artery lesion. Two-dimensional echocardiography and coronary angiography are routine examinations to evaluate the coronary lesions; however, these are not adequate to assess the wall morphology of the coronary artery (CA). Intravascular ultrasound imaging (IVUS), a new technology for the evaluation of the cor...

Sinus of valsalva aneurysm is a rare condition arising from any of the three aortic sinuses. Among them, an aneurysm arising from the left coronary sinus is the rarest. Most of these cases were earlier diagnosed using echocardiography and conventional angiography. But with the availability of advanced imaging modalities like 64 slice cardiac CT and MR modalities, this condition can be accuratel...

Two cases of coronary artery disease coexisting with abdominal aortic aneurysm were treated with off-pump coronary artery bypass grafting combined with repair of the aneurysm. The first patient was a 67-year-old man exhibiting a large pulsating abdominal mass. Abdominal computed tomography demonstrated a 9-cm aneurysm and coronary angiogram revealed a 90% stenosis of the obtuse marginal branch ...

Fig. 1. Transverse midesophageal plane at 458, demonstrating the short axis of the aortic valve in diastole. The ruptured aneurysm of the right coronary sinus protrudes into the right atrium just above the tricuspid valve producing the characteristic ‘windsock’ appearance described in textbooks. Colour-flow Successful surgical repair of a ruptured sinus of Valsalva aneurysm was performed in a 3...