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Ann Thorac Surg 2007;84:1392-1394
© 2007 The Society of Thoracic Surgeons

Case Reports

Surgical Treatment of a Giant Coronary Artery Aneurysm: A Modified Approach

Richa Agarwal, MDa, Valluvan Jeevanandam, MDb, Neeraj Jolly, MDa,*

a Section of Cardiology, The University of Chicago, Chicago, Illinois
b Section of Cardiothoracic Surgery, The University of Chicago, Chicago, Illinois

Accepted for publication May 29, 2007.

* Address correspondence to Dr Jolly, University of Chicago Hospitals, 5841 S Maryland Ave MC 5076, Chicago, IL 60637 (Email: njolly{at}medicine.bsd.uchicago.edu).

A common surgery for giant coronary artery aneurysms includes aneurysmal ligation and coronary artery bypass grafting. We report a patient with such an aneurysm involving the left main trunk in whom the aneurysmal characteristics precluded this approach. Surgical strategy was modified and the aneurysmal sac was dissected open to define the coronary vasculature before ligating the aneurysm and completing the bypass operation.




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 Ann. Thorac. Surg.Home page
K. Matsubayashi, T. Asai, O. Nishimura, T. Kinoshita, H. Ikegami, A. Kambara, and T. Suzuki
Giant coronary artery aneurysm in the left main coronary artery: a novel surgical procedure.
Ann. Thorac. Surg., June 1, 2008; 85(6): 2130 - 2132.
[Abstract] [Full Text] [PDF]


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