Beating-heart surgery for the management of right coronary artery aneurysm
Silvana F Marasco1, James Tatoulis
1Royal Melbourne Hospital, Melbourne, Australia. silvanamarasco@netspace.net.au
The Heart Surgery Forum
|May 13, 2004
Insights
True coronary artery aneurysms are rare, often affecting the right artery in males. This case highlights successful surgical management of a right coronary artery aneurysm causing exertional angina.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Coronary artery aneurysms (CAAs) are uncommon vascular abnormalities.
- Incidence rates of CAAs range from 0.3% to 4.9% in patients undergoing coronary angiography.
- CAAs show a predilection for the right coronary artery and a slightly higher prevalence in males.
Observation:
- A case of a right coronary artery aneurysm was identified.
- The patient presented with symptoms of exertional angina.
- The aneurysm was diagnosed in a patient undergoing cardiac evaluation.
Findings:
- The patient's exertional angina was attributed to the right coronary artery aneurysm.
- The aneurysm was successfully treated using surgical intervention.
- Beating-heart surgical techniques were employed for aneurysm management.
Implications:
- This case demonstrates a viable surgical approach for managing right coronary artery aneurysms.
- Successful treatment can alleviate angina symptoms in affected patients.
- Highlights the importance of considering CAAs in patients with angina and the efficacy of surgical repair.
Abstract:
The incidence of true coronary artery aneurysms varies between 0.3% and 4.9% in patients undergoing coronary angiography. There is a predilection for the right coronary artery and a slightly higher incidence in male patients. We describe a case of right coronary artery aneurysm in a patient presenting with exertional angina. The aneurysm was successfully managed using beating-heart surgical techniques.
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