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Giant pseudoaneurysm from Vieussens' arterial ring.
Mladen J Kocica1, Mile R Vranes, Petar L Djukic
1Clinic for Cardiac Surgery, Institute for Cardiovascular Diseases, UC Clinical Centre of Serbia, Belgrade, Yugoslavia. kocica@sezampro.yu
The Annals of Thoracic Surgery
|October 30, 2004
Summary
A rare giant coronary pseudoaneurysm originating from Vieussens
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Coronary pseudoaneurysms are rare but potentially life-threatening conditions.
- Pseudoaneurysms typically arise from iatrogenic injury or myocardial infarction.
- Pseudoaneurysms originating from Vieussens' arterial ring are exceptionally rare.
Observation:
- A female patient presented with an oligosymptomatic giant coronary pseudoaneurysm.
- The pseudoaneurysm was diagnosed preoperatively and its origin from Vieussens' arterial ring was identified.
- The exact cause of the pseudoaneurysm remained uncertain.
Findings:
- Successful surgical excision of the giant coronary pseudoaneurysm was achieved.
- The procedure was performed using an off-pump technique without the need for additional bypass grafting.
- The patient's oligosymptomatic presentation posed diagnostic challenges.
Implications:
- This case highlights the importance of considering rare diagnoses in complex cardiovascular presentations.
- Off-pump surgical excision can be a viable and effective treatment option for coronary pseudoaneurysms.
- Further research into the etiology and optimal management of pseudoaneurysms arising from arterial rings is warranted.