Surgical Repair of Multiple Coronary Artery Aneurysms With Multivessel Coronary Disease
Xiyu Zhu1, Yali Wang2, Li Zhu3
1Department of Cardiac Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, China.
Insights
This case study details a rare instance of multiple coronary artery aneurysms in a patient with severe coronary artery disease. Personalized surgical and medical treatments, guided by multi-omics data, were crucial for managing this complex condition.
Area of Science:
- Cardiology
- Vascular Surgery
- Genomics
Background:
- Coronary artery aneurysm is a rare manifestation of coronary artery disease.
- Management requires individualized therapeutic approaches.
Background:
Coronary artery aneurysm is a rare form of coronary artery disease and needs to be treated by individualized therapy.
Case Summary:
A 66-year-old man experienced repeated chest distress for 6 months. He was diagnosed as having multiple coronary artery aneurysms along with severe coronary artery disease. We report the surgical strategy and medical treatment details based on multi-omics sequencing results.
Discussion:
Multiple coronary artery aneurysms with complicated coronary artery disease in a single patient is rare. The choice of different techniques in surgical treatment should be based on the lesion position, relationship with surrounding tissues, and revascularization strategy of the coronary vessels. This case also highlights the perioperative treatment using modern medical techniques.
Take-Home Messages:
Surgical treatment is still the first-line therapy for multiple and giant coronary artery aneurysm. Individualized therapy during the follow-up period is necessary for good clinical outcomes.
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