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[Surgical treatment of coronary artery aneurysm]
Qingyu Wu1, Dianyuan Li, Shengshou Hu
1Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100037, China.
Insights
Coronary artery aneurysms are rare with poor prognosis. Early surgical intervention, including resection and bypass grafting, is crucial for favorable outcomes in patients with coronary artery aneurysms.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
Context:
- Coronary artery aneurysms (CAAs) are uncommon vascular abnormalities.
- Kawasaki disease and coronary artery fistula are common etiologies.
Purpose:
- To outline the diagnostic and surgical management strategies for coronary artery aneurysms.
- To evaluate the outcomes of surgical treatment for CAAs.
Summary:
- Six patients with CAAs underwent surgical treatment between 1996 and 2000.
- Surgical procedures included coronary artery bypass grafting, aneurysm resection, fistula closure, and aortic valve replacement.
- No perioperative or late deaths occurred, with satisfactory follow-up results.
Impact:
- Highlights the importance of early diagnosis and surgical intervention for coronary artery aneurysms.
- Demonstrates the safety and efficacy of surgical management for CAAs, including complex cases.
- Provides evidence for optimal surgical techniques: resection, bypass, and treatment of associated conditions.
Objective:
To describe the diagnosis and surgical management of coronary artery aneurysm.
Methods:
Between October 1996 and May 2000, 6 patients with coronary artery aneurysm underwent surgical treatment. Of these patients, 3 had Kawasaki disease and 3 coronary artery fistula. All patients underwent coronary artery bypass grafting. Three patients had aneurysms resected and fistulous ostium closed. One patient received aortic valve replacement.
Results:
There were no deaths and later death, nor major complications during the hospital stay. The results of follow-up were satisfactory.
Conclusions:
Coronary artery aneurysm is rare and its prognosis is poor. Early diagnosis and operation are necessary. The aneurysm should be resected, the coronary artery should be bypassed, and other associated diseases should be treated properly.