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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

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Multiple giant coronary artery aneurysms with extended coronary ectasia emerging 12 years after previous coronary

Taro Fujii1, Masato Mutsuga1, Yuji Narita1

  • 1Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

SAGE Open Medical Case Reports
|August 12, 2022
PubMed

Insights

This case study details a 73-year-old man with giant coronary artery aneurysms that grew significantly 12 years after initial bypass surgery. Surgical resection and re-grafting were successfully performed.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary artery aneurysms (CAAs) are rare, often associated with atherosclerosis or connective tissue disorders.
  • Aneurysm growth after coronary artery bypass grafting (CABG) is uncommon but can lead to complications.

Observation:

  • A 73-year-old male presented with multiple giant CAAs, significantly enlarged 12 years post-CABG.
  • Initial small aneurysms (16mm RCA, 10mm LCx) had grown to 45mm and 30mm respectively.

Findings:

  • Surgical resection of all giant CAAs was performed.
  • Successful re-do CABG of the left circumflex artery was achieved via re-sternotomy.

Implications:

  • This case highlights the potential for significant CAA growth years after CABG.
  • Management of giant CAAs requires careful monitoring and consideration of surgical intervention, including re-do procedures.

Keywords:
Coronary artery aneurysmscoronary artery ectasiapost operation

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