[Off-pump coronary artery bypass and right ventricular branch translocation for coronary aneurysm; report of a case].
The successful surgical treatment for a coronary artery aneurysm was reported. A 38-year-old female presented with angina pectoris due to right coronary artery stenosis. Angiography revealed a right coronary artery aneurysm and 90% stenosis at a site just proximal to the aneurysm, accompanied by the relatively large right ventricular (RV) branch originating from a mid portion of the aneurysm. Off-pump coronary artery bypass grafting (CABG) to the right coronary artery (RCA) #3, translocation of RV branch to RCA #3, and ligation of RCA proximal and distal to the aneurysm were successfully performed. Post-operative course had been uneventful with satisfactory angiographic results. Coronary translocation with CABG could be a treatment option for coronary artery aneurysms.
Yamazaki
Sachiko
S
Department of Cardiovascular Surgery, Kyoto Second Red Cross Hospital, Kyoto, Japan.
Yokoyama
S
S
Shingaki
M
M
Miyake
T
T
Koh
E
E
D000328:Adult; D000789:Angina, Unstable / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump; D005260:Female; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome; D016896:Treatment Outcome