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

2018 ◽  
Vol 45 (2) ◽  
pp. 99-101 ◽  
Author(s):  
Nicholas P. Villano ◽  
Murray Kwon ◽  
Reza Ardehali
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Bypass Grafting ◽  
Left Main ◽  
Coronary Artery Aneurysms ◽  
Vessel Coronary Artery

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.

Emergency Coronary Artery Bypass Grafting for Acute Obstruction of the Left Main Coronary Artery.

1999 ◽  
Vol 28 (6) ◽  
pp. 359-363 ◽  
Author(s):  
Jun'ichi Oba ◽  
Hidetoshi Aoki ◽  
Toshihito Yoshida ◽  
Takeshi Kanaoka ◽  
Kiminori Oe ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Acute Obstruction ◽  
Left Main ◽  
Artery Bypass Grafting

scholarly journals SURGICALLY TREATED SACCULAR LEFT MAIN CORONARY ARTERY ANEURYSM

2019 ◽  
Vol 34 (4) ◽  
pp. 935-937
Author(s):  
Asen Ivanov ◽  
Todor Gonovski ◽  
Hristo Stoev
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Left Main ◽  
Retrosternal Pain ◽  
Common Diagnosis

Coronary artery aneurysm is not a common diagnosis, and those of the left main coronary artery(LMCA) are extremely rare with an incidence of 0.1% of patients undergoing percutaneous coronary intervention(PCI). We report a case of 68-year-old male patient, hospitalized in interventional cardiology department with a retrosternal pain, where PCI was performed revealing a saccular aneurysm of the LMCA. Computed tomography(CT) scan confirmed the diagnosis of isolated coronary artery aneurysm 15mm distal to the orifice of the LMCA. Cardiac surgery procedure was performed including: double coronary artery bypass grafting(CABG), occlusion of the LMCA orifice combined with distal occlusion of the aneurysm. The postoperative course was uneventful and the patient was discharged on postoperative day 6 without any remarks. Even though the etiology of the aneurysm was not fully investigated, it was suspected to be a congenital one.

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