Successful surgical treatment of a giant coronary artery aneurysm presenting with recurrent profuse haemoptysis.
We present the case of successful resection of a giant aneurysm of the LAD presenting with recurrent severe haemoptysis in a 72-year old man. He was admitted to a regional hospital with fever, recurrent bloody sputum, weight loss and left sided chest pain, and developed respiratory failure requiring ventilation. Investigations are summarised and reviewed and the diagnosis was eventually reached by TTE, CT and MRI scans, confirmed by coronary angiography. Successful emergency surgery to resect the aneurysm and put a vein graft to the LAD is described. The presentation and management of coronary giant aneurysm is reviewed.
Mensah
Opoku-Ware
OW
Essex Cardiothoracic Centre, Basildon, UK. owmensah@t-online.de
Hayward
Philip A R
PA
Koeppe
Michael
M
Huth
Christof
C
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012008:Recurrence; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed