Giant Coronary Aneurysm Presenting as Acute Ventricular Septal Rupture

2000 ◽  
Vol 8 (2) ◽  
pp. 175-177
Author(s):  
Madhava Janardhan Naik ◽  
Chong Hee Lim ◽  
Zee Pin Ding ◽  
Yeow Leng Chua
Keyword(s):  
Septic Shock ◽  
Coronary Artery ◽  
Ventricular Septal Defect ◽  
Right Coronary Artery ◽  
Septal Defect ◽  
Coronary Aneurysm ◽  
Ventricular Septal Rupture ◽  
Giant Coronary Aneurysm ◽  
The Right

Giant coronary aneurysm presented initially as acute ventricular septal rupture in a 65-year-old man. At surgery, aneurysms measuring more than 10 cm each were found in the right coronary and left anterior descending arteries. The right coronary artery was bypassed and the aneurysm was plicated. A 2-cm ventricular septal defect was patched. Postoperatively, the patient's condition deteriorated and he succumbed to septic shock.

Unusual coronary artery arrangement in D-transposition of the great arteries with ventricular septal defect

2020 ◽  
pp. 1-3
Author(s):  
Salima Ahmed Bhimani ◽  
Rukmini Komarlu
Keyword(s):  
Coronary Artery ◽  
Ventricular Septal Defect ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Septal Defect ◽  
Systolic Function ◽  
Ductus Arteriosus ◽  
Antegrade Flow ◽  
The Right

A term female with prenatally diagnosed D-Transposition of the great arteries, large membranous ventricular septal defect with inlet extension, moderate secundum atrial septal defect, and large patent ductus arteriosus (Fig 1) was born by scheduled caesarean section. Transthoracic echocardiogram confirmed the anatomy with both coronary arteries arising from a single sinus with separate ostia. The right coronary artery arose from right posterior facing sinus (Fig 2). The left coronary artery arose anomalously from the same sinus adjacent to the right coronary artery ostium, coursing posterior to the aorta, with brief intramural and interarterial course before bifurcating into the left anterior descending and left circumflex coronary arteries (Figs 3 and 4). As a result of this unique coronary pattern, she underwent unroofing of the intramural left coronary artery noted on opening the aortic root to the coronary ostium. Both coronary buttons were harvested and this large button was then divided into two buttons. The left coronary artery button was implanted with a trapdoor technique, right coronary artery button was implanted, and the remainder of the arterial switch procedure along with LeCompte maneuver was completed uneventfully, with closure of the atrial and ventricular septal defects. The post-operative course was uneventful and the patient was discharged on the seventh post-operative day. At discharge, the patient had normal biventricular systolic function, no residual intracardiac shunt, and robust antegrade flow in the reimplanted coronary arteries. The patient was growing well at the fourth month post-operative visit with normal biventricular function, patent coronaries, and outflow tracts.

scholarly journals A giant coronary aneurysm on the right coronary artery in a 16-year-old patient

2015 ◽  
Vol 15 (11) ◽  
pp. E29-E29
Author(s):  
Mustafa Demirol ◽  
Yilmaz Yozgat ◽  
Cem Karadeniz ◽  
Timur Mese
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Aneurysm ◽  
Giant Coronary Aneurysm ◽  
The Right

Successful Staged Repair for Truncus Arteriosus With Anomalous Arch Vessels and Left Coronary Artery

2019 ◽  
Vol 10 (5) ◽  
pp. 643-644
Author(s):  
Yoshikazu Ono ◽  
Takaya Hoashi ◽  
Kenichi Kurosaki ◽  
Hajime Ichikawa
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Left Coronary Artery ◽  
Septal Defect ◽  
Pulmonary Arteries ◽  
Truncus Arteriosus ◽  
The Right

A patient was born with truncus arteriosus type 2, left aortic arch, anomalous origin of arch vessels, left coronary artery from the right common carotid artery, and multiple extracardiac anomalies. Surgery involving translocation of the left coronary artery to the truncal root, division of branch pulmonary arteries from the truncal artery, and right ventricle-to-branch pulmonary arteries conduit placement was performed at the age of four months. Closure of the ventricular septal defect using a one-way fenestrated patch and conduit upsizing was performed successfully when the patient reached four years of age.

scholarly journals Giant right coronary artery aneurysm. Case Report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Benjamín Iván Hernández-Mejía ◽  
Edison Ricardo Espinoza-Saquicela
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Revascularization ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Moderate Hypothermia ◽  
Coronary Catheterization ◽  
Coronary Syndrome ◽  
Coronary Aneurysms ◽  
The Right

Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.

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