Related Experiment Video

Updated: Jul 1, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Giant Left Anterior Descending Artery Aneurysm With an Unusual Direct Continuity to the Aortic Arch

Sahin Iscan1, Erturk Karaagac1, Serkan Yazman1

  • 1Department of Cardiovascular Surgery, Katip Çelebi University İzmir Atatürk Training and Research Hospital, İzmir, 35360, Turkey.

Interdisciplinary Cardiovascular and Thoracic Surgery
|June 30, 2026
PubMed

Insights

A rare giant coronary artery aneurysm directly connected to the aortic arch was surgically treated. Advanced imaging diagnosed this unusual cardiac pathology, preventing intraoperative complications and improving patient outcomes.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Vascular Surgery

Background:

  • Giant coronary artery aneurysms directly connected to the aortic arch are rare cardiac pathologies.
  • Inadequate pre-operative investigation with advanced imaging can lead to intraoperative complications and increased patient morbidity.

Purpose of the Study:

  • To present the surgical treatment of a patient with a giant left anterior descending (LAD) artery aneurysm directly connected to the aortic arch.
  • To highlight the pre- and intraoperative surgical approach for this rare condition.

Main Methods:

  • Diagnosis was achieved using computed tomography (CT) to identify the direct connection between the giant LAD aneurysm and the aortic arch via a separate vessel.
  • Surgical treatment was performed, addressing the complex anatomy.

Main Results:

  • The direct connection between the giant LAD aneurysm and the aortic arch was successfully identified preoperatively.
  • The patient presented with acute myocardial infarction, underscoring the clinical significance of this pathology.
  • Surgical intervention was performed to manage the condition.

Conclusions:

  • This case report emphasizes the importance of advanced imaging techniques in diagnosing rare coronary artery aneurysms connected to the aortic arch.
  • A thorough pre-operative assessment is crucial for planning surgical treatment and minimizing intraoperative risks.
  • Prompt diagnosis and surgical management are essential for patients presenting with acute myocardial infarction due to such anomalies.

Keywords:
aortacoronary aneurysmvascular connection

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Related Concept Videos

The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
The Aorta01:14

The Aorta

The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...