Coronary artery aneurysm repaired with saphenous vein patch plasty.
The presence of atherosclerotic coronary artery aneurysms is not always considered to be an operative indication. However, progressively expanded coronary artery aneurysms may have the potential for complications such as rupture or embolism. We present a case of successful repair of a coronary artery aneurysm located above the first septal perforator in the left anterior descending coronary artery using a saphenous vein patch and simultaneous construction of a right gastroepiploic artery graft to the occluded right coronary artery. Follow-up angiography at 6 months after operation revealed complete disappearance of the aneurysm with no luminal stenosis and a preserved large septal branch. The right gastroepiploic artery graft was also found to be widely patent.
Moriyama
Y
Y
Second Department of Surgery, Kagoshima University, Faculty of Medicine, Kagoshima City, Japan.
Hisatomi
K
K
Shimokawa
S
S
Taira
A
A
Arima
S
S
D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*