title: Giant coronary artery aneurysm complicated with aortic regurgitation.
abstract: We present a rare case of a patient diagnosed with aortic insufficiency grade III and a giant coronary artery aneurysm with a maximum diameter of 12 cm. Surgical intervention revealed an incompetent bicuspid aortic valve and a huge thrombosed aneurysm, which communicated with the aorta through the left coronary ostium. In addition to direct closure of the ostium, a saphenous vein was anastomosed to the left anterior descending artery, and the aortic valve was successfully replaced with a mechanical valve.
authors.affiliation: Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan. khiro@bc4.so-net.ne.jp
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Hirooka
authors.forename: Taijyu
authors.initials: T
authors.lastname: Watanabe
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ohnuki
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D003323:Coronary Aneurysm / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans