HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hirooka, K. Articles by Ohnuki, M. Search for Related Content PubMed Articles by Hirooka, K. Articles by Ohnuki, M. Related Collections Coronary disease

---

Case Reports

Giant Coronary Artery Aneurysm Complicated With Aortic Regurgitation

Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan

Accepted for publication July 16, 2008.

^_* Address correspondence to Dr Hirooka, Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital, Manabe-shinmachi 11-7 Tsuchiura, Ibaraki, 300-0053, Japan (Email: khiro{at}bc4.so-net.ne.jp).

We present a rare case of a patient diagnosed with aortic insufficiency grade III and a giant coronary artery aneurysm with a maximum diameter of 12 cm. Surgical intervention revealed an incompetent bicuspid aortic valve and a huge thrombosed aneurysm, which communicated with the aorta through the left coronary ostium. In addition to direct closure of the ostium, a saphenous vein was anastomosed to the left anterior descending artery, and the aortic valve was successfully replaced with a mechanical valve.