Surgical treatment of a giant left main aneurysm.
Coronary artery aneurysms are a rare finding and even more any coronary dilation having a diameter 1.5 times greater than the adjacent artery qualified as giant. No established treatment protocol exists. We report the case of a 75-year old man with a clinical symptom of chest pain on exertion, worsening in the last 6 months, who was diagnosed with a giant left main aneurysm. Surgical ligation of the proximal left anterior descending artery and first diagonal and triple bypass, using saphenous vein graft to vascularize the proximal circumflex artery, left anterior descending artery and first diagonal, was performed.
Department of Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland laura.viola.md@gmail.com.
Laura
L
Viola
Department of Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland.
Luther
L
Keita
Department of Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland.
Dave
D
Veerasingam
D000368:Aged; D000072226:Computed Tomography Angiography; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male
Cardiac surgery; Giant coronary aneurysm; Left main