[Surgical treatment of coronary artery aneurysm].
OBJECTIVE
To describe the diagnosis and surgical management of coronary artery aneurysm.


METHODS
Between October 1996 and May 2000, 6 patients with coronary artery aneurysm underwent surgical treatment. Of these patients, 3 had Kawasaki disease and 3 coronary artery fistula. All patients underwent coronary artery bypass grafting. Three patients had aneurysms resected and fistulous ostium closed. One patient received aortic valve replacement.


RESULTS
There were no deaths and later death, nor major complications during the hospital stay. The results of follow-up were satisfactory.


CONCLUSIONS
Coronary artery aneurysm is rare and its prognosis is poor. Early diagnosis and operation are necessary. The aneurysm should be resected, the coronary artery should be bypassed, and other associated diseases should be treated properly.
Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100037, China.
Qingyu
Q
Wu
Dianyuan
D
Li
Shengshou
S
Hu
Shiwei
S
Pan
Feng
F
Lu
D000328:Adult; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016157:Vascular Fistula