[Surgical treatment of giant coronary artery aneurysm].
OBJECTIVE
To discuss the clinical features and surgical treatments of giant coronary artery aneurysm (CAA).


METHODS
From July 1996 to October 2004, 6 giant CAA patients were underwent surgery at Fuwai hospital. Three cases were underwent CAA resection, 2 concomitant coronary bypass, 3 reconstruction. The giant CAA was often combined with other cardiac diseases. Four cases underwent additional procedures of fistula closure, 3 aortic valve replacements, 2 aortoplasty and 1 thrombus cleaning at the same time.


RESULTS
All patients recovered uneventfully. The mean of cardiopulmonary bypass time was (144 +/- 26) min (range 67 to 207 min). Aortic cross clamping time was (104 +/- 21) min (range 56 to 172 min). Patients follow-up time occurred from 8 to 87 months (mean of 48 months). All patients were free of symptoms during follow-up. None of the patients died during the follow-up period and none of the CAA recurred.


CONCLUSIONS
The giant CAA is a serious cardiovascular disease, early diagnosis and surgical treatment are mandatory.
Li
Dian-yuan
DY
Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.
Hu
Shang-shou
SS
Sun
Li-zhong
LZ
Song
Yun-hu
YH
Wang
Wei
W
Pan
Shi-wei
SW
Zhao
Hong
H
Luo
Guo-hua
GH
Liu
Yong-min
YM
Qi
Zhi-tao
ZT
Tao
Tian-fu
TF
D000328:Adult; D003323:Coronary Aneurysm / Q000473:pathology / Q000601:surgery*; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods*; D016896:Treatment Outcome