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Ruptured Giant Coronary Artery Aneurysm: Complex Features and Surgical Challenges
Cangsong Xiao1, Lei Chen1, Ming Yang1
1Department of Cardiovascular Surgery, Sixth Medical Center of PLA General Hospital, Beijing, China.
Insights
Coronary artery aneurysms (CAA) can rupture, posing a life-threatening risk. This case highlights the successful emergency surgery for a ruptured giant CAA after 7 years of monitoring.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Coronary artery aneurysm (CAA) is a rare condition.
- Large aneurysms (≥20 mm) often necessitate elective surgery.
- Limited data exists on the long-term natural progression of CAA.
Background:
Coronary artery aneurysm (CAA) is a rare condition, often asymptomatic and incidentally detected, with large aneurysms (≥20 mm) typically requiring early elective surgery, limiting data on its long-term natural progression.
Method:
This study presents a unique case of a patient with a giant right CAA, left CAA, and multiple fistulas who was monitored for 7 years before experiencing rupture, necessitating emergency surgery, and provides a video and report on the surgical intervention.
Result:
The emergency surgery was successful, and the patient recovered well, with a 7-day hospital duration and an excellent condition at an appropriate 3-month follow-up. The aneurysms and fistulas were lately not observed by coronary computed tomography angiography.
Conclusion:
CAA may become complex and threaten life when ruptured. Surgery for ruptured CAA is not routine and requires appropriate management of unexpected situations during surgery.
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