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Yukinori Moriyama
Kouichi Hisatomi
Akira Taira
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Ann Thorac Surg 1998;65:561
© 1998 The Society of Thoracic Surgeons

Case Reports

Coronary Artery Aneurysm Repaired With Saphenous Vein Patch Plasty

Yukinori Moriyama, MD, Kouichi Hisatomi, MD, Shinji Shimokawa, MD, Akira Taira, MD, Shinichi Arima, MD

Second Department of Surgery, Kagoshima University, Faculty of Medicine, Kagoshima City, Japan
First Department of Internal Medicine, Kagoshima University, Faculty of Medicine, Kagoshima City, Japan

Accepted for publication September 23, 1997.

Dr Moriyama, Second Department of Surgery, Kagoshima University, Faculty of Medicine, Sakuragaoka 8-35-1, Kagoshima City 890, Japan.

The presence of atherosclerotic coronary artery aneurysms is not always considered to be an operative indication. However, progressively expanded coronary artery aneurysms may have the potential for complications such as rupture or embolism. We present a case of successful repair of a coronary artery aneurysm located above the first septal perforator in the left anterior descending coronary artery using a saphenous vein patch and simultaneous construction of a right gastroepiploic artery graft to the occluded right coronary artery. Follow-up angiography at 6 months after operation revealed complete disappearance of the aneurysm with no luminal stenosis and a preserved large septal branch. The right gastroepiploic artery graft was also found to be widely patent.




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