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Ann Thorac Surg 2007;84:e10-e11
© 2007 The Society of Thoracic Surgeons

Case Reports

Successful Revascularization of Multiple Coronary Artery Aneurysms Using a Combination of Surgical Strategies

Ravi K. Ghanta, MD*, Subroto Paul, MD, Gregory S. Couper, MD

Division of Cardiac Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

Accepted for publication April 5, 2007.

* Address correspondence to Dr Ghanta, Division of Cardiac Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115 (Email: rghanta{at}partners.org).

We report our approach to an unusual case of a 64-year-old man with multiple coronary artery aneurysms (CAAs) of the right, left anterior descending, and ramus coronary arteries. The right CAA was unusually large in size (measuring 5.5 cm). The aneurysms were obstructive, resulting in ischemic heart disease and heart failure. Multiple surgical techniques have been proposed to approach CAAs; however the ideal treatment strategy is poorly defined. This patient underwent successful revascularization using a combination of strategies, including aneurysm ligation, interposition reversed saphenous vein grafting, and bypass grafting. Surgical approach should be determined by aneurysm size, presence of branching vessels, and degree of stenosis.






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Copyright © 2007 by The Society of Thoracic Surgeons.