title: [Surgical treatment of giant coronary artery aneurysm].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.
authors.forename: Dian-yuan
authors.initials: DY
authors.lastname: Li
authors.forename: Shang-shou
authors.initials: SS
authors.lastname: Hu
authors.forename: Li-zhong
authors.initials: LZ
authors.lastname: Sun
authors.forename: Yun-hu
authors.initials: YH
authors.lastname: Song
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Shi-wei
authors.initials: SW
authors.lastname: Pan
authors.forename: Hong
authors.initials: H
authors.lastname: Zhao
authors.forename: Guo-hua
authors.initials: GH
authors.lastname: Luo
authors.forename: Yong-min
authors.initials: YM
authors.lastname: Liu
authors.forename: Zhi-tao
authors.initials: ZT
authors.lastname: Qi
authors.forename: Tian-fu
authors.initials: TF
authors.lastname: Tao
mesh_terms: 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