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Myocardial Infarction and Functional Outcome Assessment in Pigs
12:03

Myocardial Infarction and Functional Outcome Assessment in Pigs

Published on: April 25, 2014

[Large coronary aneurysm after coronary intervention for acute myocardial infarction; report of a case]

Syuichi Okada1, T Kaneko, M Ezure

  • 1Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 8, 2009
PubMed

Insights

A large right coronary aneurysm developed after angioplasty. Surgical repair using coronary artery bypass grafting (CABG) and aneurysm resection proved successful, restoring coronary artery blood flow.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • A 59-year-old male presented with angina pectoris and a significant right coronary artery aneurysm.
  • The patient had a history of percutaneous coronary balloon angioplasty for a stenotic lesion in the right coronary artery (RCA) two years prior.

Observation:

  • Diagnostic imaging, including angiography and computed tomography, confirmed the presence of a large right coronary aneurysm.
  • The aneurysm posed a risk for complications such as rupture or thrombosis.

Findings:

  • Surgical intervention involved on-pump coronary artery bypass grafting (CABG).
  • The procedure included ligation of the RCA proximal and distal to the aneurysm, followed by aneurysm resection.
  • The surgical approach was technically successful.

Implications:

  • This case demonstrates the successful management of a large coronary artery aneurysm post-angioplasty.
  • Coronary artery bypass grafting and aneurysm resection can be an effective treatment option.
  • Maintaining satisfactory angiographic results post-operatively is crucial for long-term outcomes.

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