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Ann Thorac Surg 1992;54:1216-1218
© 1992 The Society of Thoracic Surgeons

Articles

Post-atherectomy coronary artery aneurysm

Amram J. Cohen, MDa,b, Alan Banks, MDa,b, Patrick Cambier, MDa,b, Fred H. Edwards, MD*,a,b

a Department of Surgery and Department of Cardiovascular Diseases, Walter Reed Army Medical Center, Washington, DC, USA
b Department of Surgery, Uniformed Services of the Health Sciences, Bethesda, Maryland, USA

Accepted for publication March 18, 1992.

* Address reprint requests to Dr Edwards, Cardiothoracic 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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