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The Annals of Thoracic Surgery, Vol 54, 1216-1218, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Post-atherectomy coronary artery aneurysm

AJ Cohen, A Banks, P Cambier and FH Edwards
Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001.

A 52-year-old man underwent an uneventful directional atherectomy of the left anterior descending coronary artery. Four months after the procedure unstable angina developed and on angiogram an aneurysm of the left anterior descending coronary artery was noted. The patient underwent bypass of the left anterior descending coronary artery. An attempt to exclude the aneurysm resulted in hemodynamic compromise and was discontinued. Follow-up angiogram 2 months after operation showed the aneurysm to be smaller. The patient is doing well 6 months after operation.


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