[Coronary artery ectasia. Apropos of a case treated surgically in 2 stages].
The authors report a new case of coronary artery aneurysms in a 35 year old man who presented with a rudimentary myocardial infarct. Coronary angiography showed a localized aneurysm of the left anterior descending and left circumflex arteries, and a diffuse dilatation of the right coronary artery. The underlying cause was certainly atheroma because a severe stenosis was observed on the right coronary artery in association with the aneurysm. Five years later aorto-right coronary bypass surgery, when anticoagulant therapy was withdrawn, a second rudimentary infarct occurred due to intra aneurysmal thrombosis on the left circumflex artery. The aneurysmal and atheromatous disease had progressed, justifying a double bypass on the left anterior descending and circumflex arteries with exclusion of the two aneurysms. The patient was reviewed 14 months and 8 years after the first attack of spontaneous angina with good results. This and other reported cases underline the good postoperative prognosis and the necessity for a life-long anticoagulant therapy.
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011859:Radiography; D012086:Reoperation
Ectasies des artères coronaires. A propos d'un cas opéré à deux reprises.