Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Eighteen Years of Follow-up after Resection of a Giant Coronary Artery Aneurysm and Reconstruction with a Vein Graft

  • Kwon, Yelee (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Chong Bin (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kang, Pil Je (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cho, Won Chul (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • Received : 2020.08.18
  • Accepted : 2020.10.05
  • Published : 2021.06.05
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Abstract

Giant coronary artery aneurysms are rare and challenging to treat because of variation in the presenting symptoms and the lack of established management guidelines. We report the case of a patient with a 6-cm-wide giant coronary artery aneurysm that was resected, followed by reconstruction using a saphenous vein graft and 18 years of follow-up.

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References

  1. Jha NK, Ouda HZ, Khan JA, Eising GP, Augustin N. Giant right coronary artery aneurysm: case report and literature review. J Cardiothorac Surg 2009;4:18. https://doi.org/10.1186/1749-8090-4-18
  2. Robinson FC. Aneurysms of the coronary arteries. Am Heart J 1985; 109:129-35. https://doi.org/10.1016/0002-8703(85)90425-9
  3. Hirsch GM, Casey PJ, Raza-Ahmad A, Miller RM, Hirsch KJ. Thrombosed giant coronary artery aneurysm presenting as an intracardiac mass. Ann Thorac Surg 2000;69:611-3. https://doi.org/10.1016/S0003-4975(99)01369-7
  4. Quinn VJ, Baloch Z, Chandrasekaran K, Ross JJ, Karalis DG. Coronary artery aneurysm masquerading as a paracardiac mass on transesophageal echocardiography. Am Heart J 1994;127:441-3. https://doi.org/10.1016/0002-8703(94)90137-6
  5. Karliova I, Fries P, Schmidt J, Schneider U, Shalabi A, Schafers HJ. Cardiac computed tomography as an imaging modality in coronary anomalies. Ann Thorac Surg 2018;105:e15-7. https://doi.org/10.1016/j.athoracsur.2017.08.035
  6. Cameron A, Davis KB, Green G, Schaff HV. Coronary bypass surgery with internal-thoracic-artery grafts: effects on survival over a 15-year period. N Engl J Med 1996;334:216-9. https://doi.org/10.1056/NEJM199601253340402
  7. Angeloni E, Melina G, Benedetto U, et al. Metabolic syndrome affects midterm outcome after coronary artery bypass grafting. Ann Thorac Surg 2012;93:537-44. https://doi.org/10.1016/j.athoracsur.2011.10.066