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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

Coronary artery aneurysm

J Eng1, K K Nair

  • 1Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham, England.

The Journal of Cardiovascular Surgery
|August 1, 1993
PubMed

Insights

A 55-year-old man with angina and myocardial infarctions had a right coronary artery aneurysm and left anterior descending artery disease. Surgical repair with a saphenous vein graft led to an uneventful recovery.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery aneurysms are rare but can lead to serious complications like myocardial infarction.
  • Aneurysms in conjunction with significant coronary artery disease present complex management challenges.

Observation:

  • A 55-year-old male presented with a 2-year history of exertional angina and two myocardial infarctions.
  • Coronary angiography revealed a fusiform aneurysm of the right coronary artery and significant disease in the left anterior descending artery.

Findings:

  • Surgical intervention involved exclusion of the right coronary artery aneurysm.
  • A reversed saphenous vein graft was utilized for revascularization of the left anterior descending artery.
  • The patient experienced an uneventful recovery post-operatively.

Implications:

  • This case highlights successful surgical management of complex coronary artery pathology involving both aneurysm and stenosis.
  • Reviewing clinical and radiological features is crucial for determining optimal surgical strategies.
  • The findings support the consideration of surgical revascularization and aneurysm exclusion in select patients.

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