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Giant coronary artery aneurysm arising from sinus node artery
N Kanemitsu1, T Nakamura, M Okabe
1Division of Cardiovascular Surgery, Kochi Municipal Hospital, Kochi City, Japan.
Insights
A rare giant coronary artery aneurysm originating from the sinus node artery was successfully managed with off-pump aneurysmectomy. This case highlights the diagnostic utility of computed tomography and angiography, and the importance of an inflow tract occlusion test.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Giant coronary artery aneurysms are rare cardiovascular anomalies.
- Aneurysms involving the sinus node artery present unique surgical challenges.
Observation:
- A case report detailing a giant coronary aneurysm arising from the sinus node artery.
- Diagnostic imaging modalities including computed tomography and angiography were utilized.
- Surgical management involved an off-pump aneurysmectomy approach.
Findings:
- Successful surgical resection of the giant coronary artery aneurysm was achieved.
- The occlusion test of the aneurysm inflow tract proved to be a critical component in management.
Implications:
- This case expands the understanding of managing rare coronary artery aneurysms.
- It underscores the effectiveness of off-pump techniques for complex coronary artery lesions.
- The study emphasizes the diagnostic and procedural significance of specific tests in managing such anomalies.
Abstract:
A giant coronary aneurysm arising from the sinus node artery is reported. Diagnosis of this lesion by computed tomography and angiography is illustrated. The operative management is described. "Off-pump" aneurysmectomy was successfully performed. The role of occlusion test of the aneurysm inflow tract is emphasized.