Left anterior descending coronary aneurysm.
A 19-year-old man presented with gradual onset of retrosternal chest pain and hemodynamic instability. Echocardiography and computed tomography showed substantial anterior and posterior pericardial effusion with tamponade. At surgery, a 3-cm ruptured aneurysm of the left anterior descending coronary artery was identified. It was successfully bypassed using a saphenous vein graft anastomosed to the ascending aorta.
Lloyd
Julie-Ann S
JA
, Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N Wolfe St, Baltimore, MD 21287, USA.
Weiss
Eric S
ES
Vricella
Luca A
LA
D001011:Aorta / Q000601:surgery*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D055815:Young Adult