Left circumflex artery aneurysm: the end-to-end reconstruction

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Updated: Apr 12, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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Fabio Cuttone1, Céline Guilbeau-Frugier2, Jérome Roncalli3

  • 1Department of Cardiac Surgery, University Hospital (CHU), Toulouse, France fabiocuttone@gmail.com.

Interactive Cardiovascular and Thoracic Surgery
|May 21, 2015
PubMed

Insights

This study details a surgical technique for repairing a large atherosclerotic left circumflex coronary artery aneurysm. The procedure involves aneurysmectomy and end-to-end anastomosis for complete artery reconstruction.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Coronary artery aneurysms, particularly large ones, pose significant surgical challenges.
  • Atherosclerosis is a common underlying cause of coronary artery aneurysms.

Observation:

  • A rare case of a huge, atherosclerotic left circumflex coronary artery aneurysm was identified.
  • The aneurysm presented a complex anatomical challenge for surgical intervention.

Findings:

  • A novel surgical approach was successfully employed, involving aneurysm isolation and subsequent aneurysmectomy.
  • Complete reconstruction of the circumflex artery was achieved through end-to-end anastomosis.

Implications:

  • This technique offers a viable solution for managing complex coronary artery aneurysms.
  • Successful reconstruction ensures restored blood flow, crucial for myocardial function and preventing complications.

Keywords:
Cardiac surgeryCoronary aneurysmEnd-to-end anastomosisLeft circumflex coronary artery

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