In situ coronary-coronary bypass grafting for a huge left coronary aneurysm
1Cardiovascular Center Hokkaido Ohno Hospital, Sapporo, Hokkaido, Japan.
Insights
Surgical repair of large atherosclerotic coronary artery aneurysms is uncommon. This case report details a successful aneurysmectomy and bypass grafting for a growing left circumflex artery aneurysm.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Atherosclerotic coronary artery aneurysms are rare, particularly those requiring surgical intervention.
- Large or growing aneurysms pose a risk of rupture or complications.
Observation:
- A 58-year-old male presented with a huge, growing aneurysm of the left circumflex coronary artery.
- The aneurysm was attributed to atherosclerosis.
Findings:
- The patient underwent surgical aneurysmectomy, removing the diseased arterial segment.
- Coronary-coronary bypass grafting using a saphenous vein graft was performed to restore blood flow.
Implications:
- This case demonstrates the feasibility and success of surgical management for complex coronary aneurysms.
- Aneurysmectomy and bypass grafting can be a viable option when endovascular or less invasive approaches are not suitable.
Abstract:
Surgical treatment for an atherosclerotic huge coronary aneurysm is very rare. We have reported 58 years old male who had a huge growing aneurysm in left circumflex coronary artery and underwent aneurysmectomy and coronary-coronary bypass grafting with saphenous vein.
