title: Redo Operation of Recurrent Giant Coronary Artery Aneurysm: Optimizing Surgical Strategy.
abstract: BackgroundGiant coronary artery aneurysms (GCAA) are extremely rare, but they can cause life-threatening complications. Indications for surgical intervention are the occurrence of complications such as fistulas, compression, embolization, or rapid enlargement. The optimal therapeutic approach is still under debate. Until now, there are no publications dealing with the follow-up after surgical treatment. Moreover, the surgical strategy in redo operations has not been described yet.Case DescriptionWe report on surgery in a 50-year-old man with a recurrent GCAA after previous dissection and reduction.ConclusionOur recommendation is complete resection and bypassing instead of a mere diameter reduction to avoid further progression of the disease.
authors.affiliation: Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Hillebrand
authors.affiliation: Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Rukosujew
authors.affiliation: Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany.
authors.forename: Sven
authors.initials: S
authors.lastname: Martens
authors.affiliation: Department of Cardiology, Klinikum Arnsberg, Karolinen-Hospital, Arnsberg-Huesten, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Boese
keywords: cardiac anatomy; cardiovascular surgery; pathologic anatomy; reoperation