Surgical repair of an asymptomatic giant right coronary artery aneurysm
Saleem Jahangeer1, Nadeem Anjum1, Aonghus O'Donnell1
1Department of Cardiothoracic Surgery, Cork University Hospital, Cork, Ireland.
Insights
Coronary artery aneurysms (CAAs) are rare dilations. This report details the successful surgical repair of a giant right CAA exceeding 10 cm, demonstrating a viable treatment option.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Coronary artery aneurysm (CAA) is a rare condition, typically diagnosed via angiography or autopsy.
- Defined as a coronary artery dilation 1.5-2 times larger than the patient's largest coronary vessel.
Purpose of the Study:
- To report the successful surgical correction of a giant right coronary artery aneurysm (CAA).
Main Methods:
- Surgical repair of a giant right CAA measuring over 10 cm.
Main Results:
- Successful surgical repair was achieved.
- No postoperative shunts were detected on follow-up investigations.
Conclusions:
- Management strategies for giant CAAs are not standardized and surgical approaches remain debated.
- This case highlights successful surgical intervention for a giant CAA.
Abstract:
Background Coronary artery aneurysm (CAA) is a rare finding, being mostly diagnosed on angiography or at autopsies. It is defined as being a dilation of the coronary artery that exceeds the diameter of the patient's largest coronary vessel by 1.5 to 2 times. Case Report We describe the operative correction of a giant right CAA measuring in excess of 10 cm. Conclusion Management of giant CAAs is not standardized and surgical strategy remains controversial. In our case, the patient has a successful surgical repair with no postoperative shunts on follow-up investigations.
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