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Ann Thorac Surg 2008;85:2130-2132. doi:10.1016/j.athoracsur.2007.12.052
© 2008 The Society of Thoracic Surgeons
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Tohru Asai
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Right arrow Coronary disease

Case Reports

Giant Coronary Artery Aneurysm in the Left Main Coronary Artery: A Novel Surgical Procedure

Keiji Matsubayashi, MD, PhD*, Tohru Asai, MD, PhD, Osamu Nishimura, MD, Takeshi Kinoshita, MD, Hirohisa Ikegami, MD, Atsushi Kambara, MD, Tomoaki Suzuki, MD

Department of Cardiovascular Surgery, Shiga University of Medical Science, Tsukinowacho, Seta, Otsu, Shiga, Japan

Accepted for publication December 17, 2007.

* Address correspondence to Dr Matsubayashi, Shiga University of Medical Science, Second Department of Surgery, Tsukinowa, Seta, Otsu, Shiga, 520 2192, Japan (Email: mazbysh{at}aol.com).

Giant coronary artery aneurysm is quite rare and the corresponding surgical strategy is difficult to standardize. We present the case of a patient with giant coronary aneurysm involving the left main coronary artery who underwent an aneurysmectomy and coronary artery reconstruction with direct suture of the coronary vessels. Because of compression of the main pulmonary artery, the left main coronary artery was reconstructed using interposition of a short artificial graft.






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Copyright © 2008 by The Society of Thoracic Surgeons.