Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

CABG for Treating Unstable Angina with Multivessel Coronary Artery Aneurysms - A case report-

다혈관 관상동맥류가 동반된 불안정성 협심증 환자에서의 관상동맥 우회로술

  • Kim, Jin-Sik (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center) ;
  • Chee, Hyun-Keun (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center) ;
  • Chung, Jin-Woo (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center) ;
  • Kim, Jun-Seok (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center) ;
  • Shin, Je-Kyoun (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center) ;
  • Song, Meong-Gun (Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center)
  • 김진식 (건국대학교병원 흉부외과) ;
  • 지현근 (건국대학교병원 흉부외과) ;
  • 정진우 (건국대학교병원 흉부외과) ;
  • 김준석 (건국대학교병원 흉부외과) ;
  • 신제균 (건국대학교병원 흉부외과) ;
  • 송명근 (건국대학교병원 흉부외과)
  • Received : 2010.07.29
  • Accepted : 2010.09.26
  • Published : 2010.12.05
Download PDF
⟨ Previous Next ⟩

Abstract

Coronary artery aneurysm is an uncommon disease. The optimal medical or surgical treatment for this disease remains obscure. The causes of coronary artery aneurysms include atherosclerosis, Kawasaki disease, infectious vascular disease, connective tissue disorder and congenital malformation. A 50 year old man visit our institution for chest pain that had started 3 days previously. After coronary angiography, multiple coronary aneurysms were diagnosed and successful surgical intervention was performed.

관상동맥류는 비교적 드문 질환으로 내과적 또는 수술적 치료방법에 대해서는 논란이 있다. 관상동맥류의 원인으로는 동맥경화증, 가와사키병, 염증성 혈관질환, 결체조직질환 및 선천선 기형 등이 있다. 본원에서는 50세 남자환자가 관상동맥 조영술 시행 결과 다혈관 관상동맥류를 진단받고 관상동맥 우회로술을 시행하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997;40:77-84. https://doi.org/10.1016/S0033-0620(97)80024-2
  2. Cohen P, O'Gara PT. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev 2008;16:301-4. https://doi.org/10.1097/CRD.0b013e3181852659
  3. Nichols L, Lagana S, Parwani A. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 2008;132:823-8.
  4. Lima B, Varma SK, Lowe JE. Nonsurgical management of left main coronary artery aneurysms: report of 2 cases and review of the literature. Tex Heart Inst J 2006;33:376-9.
  5. Portela A, Bastos R, Costa I, Paiva J. Repair of an atherosclerotic coronary artery aneurysm by implantation of a coronary covered stent. Arq Bras Cardiol 2002;78:491-6.
  6. Takeda Y, Minato N, Katayama Y, Shimokawa T. Surgical treatment for coronary artery aneurysm. Jpn J Thorac Cardiovasc Surg 2005;53:42-5 https://doi.org/10.1007/s11748-005-1008-4
  7. Holinski S, Dohmen PM, Lembcke A, Konertz W. Surgical management of multiple coronary artery aneurysms, including the giant form. Tex Heart Inst J 2009;36:238-40.