title: Combined surgical and angioplasty management of coronary artery aneurysms including the giant form.
abstract: Coronary artery aneurysms are a rare form of coronary artery disease. Due to the rarity of these aneurysms, particularly of the giant form, it is difficult to establish a standardized treatment. We report the case of a 65-year-old man who presented with symptoms of an acute coronary syndrome. A posterobasal myocardial infarction was diagnosed with a giant right coronary artery aneurysm as the underlying pathology. Two aneurysms of the left anterior descending artery were also revealed. The management strategy included ligation of the giant aneurysm coupled with distal coronary artery bypass grafting of the right coronary artery. This was complemented with a delayed percutaneous coronary intervention of the left anterior descending artery aneurysms.
authors.affiliation: Department of Cardiac Surgery, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia. tkopjar@gmail.com
authors.forename: Tomislav
authors.initials: T
authors.lastname: Kopjar
authors.forename: Bojan
authors.initials: B
authors.lastname: Biočina
authors.forename: Hrvoje
authors.initials: H
authors.lastname: Gašparović
authors.forename: Franjo
authors.initials: F
authors.lastname: Sirić
authors.forename: Maja
authors.initials: M
authors.lastname: Strozzi
authors.forename: Ranka
authors.initials: R
authors.lastname: Stern-Padovan
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology / Q000628:therapy; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass; D006801:Humans; D008026:Ligation; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome