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A Novel Hybrid Approach to the Treatment of a Left Main Coronary Artery Aneurysm

Rhian E Davies1, Amy E Cheney1, James M McCabe1

  • 1Division of Cardiology, University of Washington, Seattle, Washington.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A complex cardiac case involved treating a ramus chronic total occlusion and a large left main aneurysm. The patient underwent successful bypass surgery and advanced percutaneous coronary intervention with covered stenting.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • A 66-year-old male presented with escalating angina and a high-risk stress test.
  • Initial assessment indicated a ramus chronic total occlusion (CTO).
  • Coronary angiography revealed an unexpected large left main aneurysm.

Keywords:
CAA, coronary artery aneurysmCTO, chronic total occlusionLAD, left anterior descendingLCx, left circumflexLIMA, left internal mammary arteryLM, left mainPCI, percutaneous coronary interventioncomputed tomographycoronary artery aneurysmcoronary artery bypasshigh-riskhybridpercutaneous coronary interventionstents

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