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Multiple Giant Coronary Artery Aneurysms Surgically Treated with Bypass Grafting: A Challenging Rarity

Kostas Kostopanagiotou1, Aikaterini Poulou1, Andrew Chatzis2

  • 1Thoracic Surgery Department, Attikon University Hospital, Athens, Greece.

Case Reports in Surgery
|September 20, 2018
PubMed

Insights

Multiple giant coronary artery aneurysms are rare. This case report details successful surgical management of widespread giant coronary aneurysms using coronary artery bypass grafting.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery aneurysms (CAAs) are abnormal dilations of the coronary arteries.
  • While CAAs are occasionally seen, multiple giant CAAs are exceptionally rare.

Observation:

  • A 57-year-old male presented with acute coronary syndrome.
  • The patient exhibited multiple giant aneurysms affecting the left main stem and all major coronary branches.

Findings:

  • The patient was successfully treated with on-pump quadruple coronary artery bypass grafting.
  • This represents one of the few reported cases of giant aneurysms involving the entire coronary system.

Implications:

  • Successful surgical revascularization is feasible for extensive giant coronary aneurysms.
  • This case highlights the importance of considering surgical options for rare and complex coronary artery pathologies.

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