title: Excising a giant: report of a 7-cm coronary artery aneurysm.
abstract: Giant coronary artery aneurysms are variously defined as more than 20 to 50 mm in size. They are rare, with a prevalence of 0.02% in a large surgical population. We present the case of a 68-year-old woman who reported an increased awareness of her chest. Multiple imaging techniques revealed a 7-cm coronary aneurysm. The aneurysm arose from a septal branch of the left anterior descending coronary artery and drained into the main pulmonary artery. Surgical excision with revascularization was successful. We recommend definitive surgical intervention as a good long-term treatment for giant coronary artery aneurysms, after preoperative imaging has yielded the safest course of resection.
authors.affiliation: Division of Cardiac Surgery, University of Rochester, Rochester, New York 14642, USA.
authors.forename: John F
authors.initials: JF
authors.lastname: Lazar
authors.forename: Margaret
authors.initials: M
authors.lastname: Compton
authors.forename: Faqian
authors.initials: F
authors.lastname: Li
authors.forename: Peter
authors.initials: P
authors.lastname: Knight
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Coronary aneurysm/diagnosis/etiology/physiopathology/surgery; coronary vessels/surgery; treatment outcome