title: Myocardial ischemia due to compression of an unruptured thoracic aortic aneurysm in a patient with Marfan syndrome.
abstract: We report a 33-year-old woman who had a 60-mm thoracic aneurysm of the ascending aorta with Marfan syndrome and effort angina due to compression of the right coronary artery (RCA) by the aneurysm. Surgery was performed using the Bentall procedure and a coronary artery bypass graft to the RCA. Postoperatively, coronary angiography showed that the coronary flow of the RCA was restored by removing the aneurysmal compression. The patient was discharged without angina on postoperative day 21.
authors.affiliation: Department of Cardiovascular Surgery, Miki City Hospital, 58-1 Kasa, Miki, Hyogo, Japan. m-hiroya@muse.ocn.ne.jp
authors.forename: Hiroya
authors.initials: H
authors.lastname: Minami
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Asada
authors.forename: Kunio
authors.initials: K
authors.lastname: Gan
authors.forename: Koichiro
authors.initials: K
authors.lastname: Abe
authors.forename: Satoshi
authors.initials: S
authors.lastname: Izumi
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008382:Marfan Syndrome / Q000150:complications* / Q000601:surgery; D017202:Myocardial Ischemia / Q000209:etiology* / Q000601:surgery