Distal Left Main Coronary Artery Aneurysm Resection during 5-Vessel Coronary Artery Bypass Grafting | Zendy

Nicholas Villano | Zendy; Murray Kwon | Zendy; Reza Ardehali | Zendy

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Distal Left Main Coronary Artery Aneurysm Resection during 5-Vessel Coronary Artery Bypass Grafting

Author(s) -

Nicholas Villano,

Murray Kwon,

Reza Ardehali

Publication year - 2018

Publication title -

texas heart institute journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.373

H-Index - 53

eISSN - 1526-6702

pISSN - 0730-2347

DOI - 10.14503/thij-17-6230

Subject(s) - medicine , artery , cardiology , aneurysm , bypass grafting , circumflex , asymptomatic , coronary artery aneurysm , dissection (medical) , left coronary artery , right coronary artery , surgery , radiology , myocardial infarction , coronary angiography , kawasaki disease

Coronary artery aneurysms are abnormal dilations of arterial segments, in some cases associated with underlying atherosclerosis. Although affected patients can be asymptomatic, some are at risk of plaque rupture, dissection, and other complications. Investigations into the optimal management of these vascular malformations are ongoing, because no consensus exists regarding when and how best to intervene. We present the case of a 58-year-old man whose large left main coronary artery aneurysm we ligated and removed during 5-vessel coronary artery bypass grafting. This distal aneurysm was at the trifurcation level of the patient's left anterior descending and left circumflex coronary arteries. In addition, we discuss considerations about left main coronary artery aneurysms and their treatment.

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