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Mladen J. Kocica
Mile R. Vranes
Petar L. Djukic
Aleksandar Dj. Mikic
Milos M. Velinovic
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Ann Thorac Surg 2004;78:1833-1836
© 2004 The Society of Thoracic Surgeons

Case report

Giant Pseudoaneurysm From Vieussens' Arterial Ring

Mladen J. Kocica, MD*,a, Mile R. Vranes, MD, PhDa, Petar L. Djukic, MD, PhDa, Aleksandar Dj. Mikic, MDa, Milos M. Velinovic, MD, PhDa, Marija Havelka, MD, PhDb, Vladimir I. Kanjuh, MD, PhDb

a Clinic for Cardiac Surgery, Institute for Cardiovascular Diseases, UC Clinical Centre of SerbiaBelgrade, Yugoslavia
b Institute for Pathology, Medical Faculty, UC Belgrade, Serbia, Yugoslavia

Accepted for publication July 17, 2003.

* Address reprint requests to Dr Kocica, Clinic for Cardiac Surgery, Institute for Cardiovascular Diseases, UC Clinical Centre of Serbia, 8th Kosta Todorovic St, Belgrade, Serbia 11000, Yugoslavia.
kocica{at}sezampro.yu

A giant coronary pseudoaneurysm of uncertain cause, arising from Vieussens' arterial ring, was preoperatively diagnosed in an oligosymptomatic female patient. Successful off-pump surgical excision without additional bypass grafting was performed. Difficulties in diagnostic algorithm, as well as possible cause and extremely rare localization were discussed.




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