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Surgical management of multiple giant coronary artery aneurysms determining myocardial ischemia
Author(s) -
Garatti Andrea,
Daprati Andrea,
Saitto Guglielmo,
deVincentiis Carlo,
Menicanti Lorenzo
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14276
Subject(s) - medicine , circumflex , artery , right coronary artery , ligation , bypass grafting , cardiology , coronary artery disease , vein , radiology , surgery , coronary angiography , myocardial infarction
Coronary artery aneurysms (CAAs) are rare lesions in which the optimal management is poorly defined. We present a series of three patients with diffuse symptomatic coronary artery disease and giant CAAs, on the circumflex branch (6 × 5 cm ‐ Patient 1), on the proximal right coronary artery (5 × 6 cm ‐ Patient 2) and on the proximal left anterior descending (LAD) (4 × 5 cm ‐ Patient 3). Standard coronary artery bypass grafting (LIMA‐on‐LAD plus sequential saphenous vein) and associated CAA exclusion by proximal and distal ligation was performed according to the coronary anatomy. Six month follow‐up computed tomography scan control showed complete exclusion of the CAA in all three patients.