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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

Summary

This summary is machine-generated.

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.

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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.

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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.