Myocardial ischemia due to compression of an unruptured thoracic aortic aneurysm in a patient with Marfan syndrome.
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.
Minami
Hiroya
H
Department of Cardiovascular Surgery, Miki City Hospital, 58-1 Kasa, Miki, Hyogo, Japan. m-hiroya@muse.ocn.ne.jp
Asada
Tatsuro
T
Gan
Kunio
K
Abe
Koichiro
K
Izumi
Satoshi
S
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