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Ann Thorac Surg 2007;83:668-670
© 2007 The Society of Thoracic Surgeons


Case Reports

Giant Circumflex Coronary Artery Aneurysm Associated With Cystic Medial Necrosis in a Non-Marfan Patient

Koji Takeda, MDa, Goro Matsumiya, MD, PhDa,*, Motonobu Nishimura, MD, PhDa, Hajime Matsue, MDa, Yasuhiko Tomita, MDb, Yoshiki Sawa, MD, PhDa

a Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
b Department of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan

Accepted for publication June 23, 2006.

* Address correspondence to Dr Matsumiya, Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. (Email: matsumg{at}surg1.med.osaka-u.ac.jp).

Giant coronary artery aneurysm is rare, and its cause and natural history has not been clearly delineated. We present a patient without Marfan syndrome who had a giant coronary artery aneurysm of the circumflex coronary artery. After the surgical resection, the underlying pathology of the aneurysm was thought to be associated with cystic medial necrosis of arterial wall because of its progressive enlargement.




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Ann. Thorac. Surg.Home page
E. Girdauskas, T. Kuntze, M. A. Borger, T. Doenst, M. Mochalski, T. Walther, V. Falk, and F. W. Mohr
Long-Term Prognosis of Type A Aortic Dissection in Non-Marfan Patients With Histologic Pattern of Cystic Medial Necrosis
Ann. Thorac. Surg., March 1, 2008; 85(3): 972 - 977.
[Abstract] [Full Text] [PDF]




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