Giant right coronary artery aneurysm complicated by acute myocardial infarction.
A coronary artery aneurysm is uncommon and frequently asymptomatic. This report presents a surgical case of a giant coronary artery aneurysm complicated by acute myocardial infarction. A 26-year-old man with sudden chest pain was referred to our hospital. Myocardial infarction was suspected, and emergency coronary angiography was performed. A giant coronary aneurysm was found in the mid-portion of the right coronary artery. The aneurysm, which was thrombosis-occluded, was successfully resected, and the right coronary artery was anastomosed in an end-to-end fashion. Although the strategy for treating a coronary artery aneurysm without myocardial ischemia remains controversial, surgical intervention should be considered in cases with a giant coronary artery aneurysm, even if asymptomatic, provided the surgical risk is low.
Kanamitsu
Hitoshi
H
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Marunouchi 2-1-10, Okayama, 700-0823, Japan. hitoshi_k_1020@hotmail.com
Yoshitaka
Hidenori
H
Kuinose
Masahiko
M
Tsushima
Yoshimasa
Y
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology; D006348:Cardiac Surgical Procedures; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
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