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Updated: Apr 30, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Left main aneurysm and what's next?
Krzysztof Sciborski1, Konrad Kaaz2, Donald Drożdż1
1Department of Cardiology, University Hospital, Wroclaw, Poland.
A 65-year-old male with chest pain was diagnosed with a large left main coronary artery aneurysm. Due to potential complications, surgical intervention was performed despite no clear ischemic symptoms.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Coronary artery aneurysms are rare but can lead to serious complications.
- Left main coronary artery aneurysms are particularly concerning due to their proximity to the aorta and potential for myocardial infarction.
Purpose of the Study:
- To report a case of a significant left main coronary artery aneurysm in a 65-year-old male presenting with chest pain.
- To discuss the diagnostic findings and management of this rare cardiovascular condition.
Main Methods:
- Coronary angiography was performed to evaluate the chest pain.
- Surgical intervention was chosen for management of the aneurysm.
Main Results:
- Coronary angiography revealed an aneurysm of the left main coronary artery measuring 15 mm in width.
- The patient underwent surgery despite the absence of overt ischemic symptoms.
Conclusions:
- Surgical management is a viable option for significant left main coronary artery aneurysms, even in the absence of acute symptoms.
- Early detection and intervention are crucial for preventing potential life-threatening complications associated with coronary artery aneurysms.
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