Related Experiment Video
Updated: Apr 24, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
645
Postoperative coronary aneurysm treated with endovascular coiling
Eugeniusz Szpakowski1, Kazimierz Kordecki2, Marcin Demkow3
1Department of Cardiac Surgery and Transplantology, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
The Annals of Thoracic Surgery
|September 7, 2014
Summary
A rare coronary artery aneurysm after a Bentall procedure was successfully treated with endovascular coiling. This minimally invasive technique prevented rupture and showed no aneurysm sac flow at 22 months.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Medicine
Background:
- The Bentall procedure is a complex aortic root replacement surgery.
- Coronary artery aneurysms are rare but serious complications following cardiac surgery.
- Postoperative aneurysm formation in the circumflex artery presents unique challenges.
Observation:
- A patient developed a circumflex coronary artery aneurysm after a Bentall procedure.
- Initial attempts to manage the aneurysm with stent graft implantation and neck closure were unsuccessful.
- The aneurysm posed a risk of rupture, necessitating alternative treatment.
Findings:
- An endovascular coiling procedure was performed to treat the coronary artery aneurysm.
- The coiling effectively excluded the aneurysm sac from circulation.
- Follow-up angiography at 22 months demonstrated no residual flow within the aneurysmal sac, indicating successful treatment.
Implications:
- Endovascular coiling is a viable and effective treatment for postoperative coronary artery aneurysms.
- This case highlights a novel approach for managing complex coronary artery pathologies after aortic surgery.
- The long-term success demonstrated by this case provides valuable insights for future clinical practice and research.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
01:22Aneurysm IV: Nursing Management
618
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
618
01:27Coronary Artery Disease V: Interprofessional Care
442
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
442
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
585
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
585
01:25Aortic Regurgitation III: Medical Management
581
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
581