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William C. Alford, Jr.
William S. Stoney
George R. Burrus
Clarence S. Thomas, Jr.
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Ann Thorac Surg 1976;22:317-321
© 1976 The Society of Thoracic Surgeons

Articles

Recognition and Operative Management of Patients with Arteriosclerotic Coronary Artery Aneurysms

William C. Alford, Jr., M.D.*, William S. Stoney, M.D., George R. Burrus, M.D., Robert A. Frist, M.D., Clarence S. Thomas, Jr., M.D.

Cardiac Surgical Service, St Thomas Hospital, and the Department of Thoracic and Cardiac Surgery, Vanderbilt University School of Medicine, Nashville, TN.

* Address reprint requests to Dr. Alford, Suite 501, St Thomas Medical Building, 4230 Harding Rd, Nashville, TN 37205.

Arteriosclerotic aneurysms of the coronary arteries have been noted in 38 patients undergoing cardiac surgical procedures. Age, sex, and risk factors are similar to those in other patients with coronary artery disease. A high incidence of previous myocardial infarction (24 of 38) is related to the frequency of clot formation and embolism associated with such aneurysms. There is also an increased risk of perioperative infarction following coronary artery bypass grafting if the suture line involves the aneurysm wall (6 of 6), but not when sutures are placed away from it. The importance of recognition and proper operative management is stressed.




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