A report of the treatment of coronary artery aneurysm without cardiopulmonary bypass.
Coronary artery aneurysm (CAA) is a fairly rare pathologic entity whose exact incidence is unknown but has been reported from 1.4% in autopsy series [Daoud, 1963] to 4.9% in the Coronary Artery Surgery Registry [Swaye, 1984]. While atherosclerosis is the most common cause of true coronary artery aneurysms, pseudoaneurysms most often occur as complications of percutaneous transluminal coronary angioplasty (PTCA) or directional artherectomy [Dralle, 1995]. We report the successful treatment of a coronary artery aneurysm with comcomitant coronary revascularization without the use of cardiopulmonary bypass in a patient with impaired pulmonary and myocardial function. The use of an intracoronary shunt, previously described by one of the authors (EW), facilitated the surgical procedure [Franzone 1977].
O'Connor
J V
JV
Department of Surgery, Division of Cardiovascular Surgery, Texas Tech Medical Center, 3601 4th Street, Room 3A124, Lubbock, TX 79430, USA.
Wallsh
E
E
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods; D001166:Arteriovenous Shunt, Surgical; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy; D012008:Recurrence; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*