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Updated: Oct 21, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement.
Kimihiro Kobayashi1, Yoshinori Kuroda2, Masahiro Mizumoto2
1Second Department of Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan. ki-kobayashi@med.id.yamagata-u.ac.jp.
Coronary button aneurysms after aortic root replacement require monitoring. Surgical repair is effective for enlarging aneurysms, especially in younger patients, preventing rupture and myocardial infarction.
Area of Science:
- Cardiovascular Surgery
- Aortic Surgery
- Aneurysm Management
Background:
- Coronary button aneurysms are rare, life-threatening complications post-aortic root replacement.
- Optimal management strategies, including surgical indications, remain unclear.
Observation:
- A 38-year-old woman presented with a progressively enlarging left coronary button aneurysm 24 years after aortic root replacement.
- Computed tomography revealed significant aneurysm growth, posing a risk of rupture and myocardial infarction.
Findings:
- Successful surgical repair was achieved using the graft interposition technique.
- The patient experienced an uneventful recovery and remains well one year post-surgery.
Implications:
- Serial computed tomography follow-up is crucial for monitoring coronary button aneurysms.
- Surgical intervention should be considered for progressively enlarging aneurysms, particularly in younger individuals, to prevent catastrophic events.
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