[A surgical case report of angina pectoris with multiple coronary giant aneurysms].
A 47-year-old man with sever angina pectoris was referred for surgery. Preoperative coronary angiogram revealed giant multiple aneurysms of RCA (Seg 1-Seg 3) and LCX (Seg 11) and LAD (Seg 6). Stenoses were found distal to aneurysm, 90% in RCA-Seg 4, CX-Seg 11, 100% in LAD- Seg 6 and DX-Seg 9 and OM-Seg 12, with collaterals from RCA to LAD. Left ventlicle contracted poorly with the EF of 36 due to anteroseptal infarction. Coronary artery bypass grafting were performed to LAD using a LITA, to DX and LCX using a SVG in the sequential fashion. Postoperative coronary cineangiogram demonstrated that all grafts were patent and multiple giant coronary aneurysms resembled coronary arterial changes of Kawasaki's disease.
Imazeki
T
T
Department of Cardiovascular Surgery, Dokkyou University of Medicine, Koshigaya Hospital, Japan.
Yamada
T
T
Yokoyama
M
M
Irie
Y
Y
Katayama
Y
Y
Murai
N
N
Kaki
N
N
Hata
I
I
D000787:Angina Pectoris / Q000209:etiology / Q000601:surgery*; D003323:Coronary Aneurysm / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*