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Ann Thorac Surg 1992;54:1216-1218
© 1992 The Society of Thoracic Surgeons


Articles

Post-atherectomy coronary artery aneurysm

Amram J. Cohen, MDa,b, Alan Banks, MDa,b, Patrick Cambier, MDa,b, Fred H. Edwards, MD*,a,b

a Department of Surgery and Department of Cardiovascular Diseases, Walter Reed Army Medical Center, Washington, DC, USA
b Department of Surgery, Uniformed Services of the Health Sciences, Bethesda, Maryland, USA

Accepted for publication March 18, 1992.

* Address reprint requests to Dr Edwards, Cardiothoracic Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001.


    Abstract
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 Abstract
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A 52-year-old man underwent an uneventful directional atherectomy of the left anterior descending coronary artery. Four months after the procedure unstable angina developed and on angiogram an aneurysm of the left anterior descending coronary artery was noted. The patient underwent bypass of the left anterior descending coronary artery. An attempt to exclude the aneurysm resulted in hemodynamic compromise and was discontinued. Follow-up angiogram 2 months after operation showed the aneurysm to be smaller. The patient is doing well 6 months after operation.


    References
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 Abstract
 References
 

  1. Robertson GC, Hinohara T, Selmon MR, Johnson DE, Simpson JB. Directional coronary atherectomy Inter Cardio 1990:563-578.
  2. Garratt KN, Kaufman UP, Edwards WD, Vlietstra RE, Holmes DR. Safety and percutaneous coronary atherectomy with deep arterial resection Am J Cardiol 1989;64:538-540.[Medline]
  3. Anabtawi IN, deLeon JA. Arteriosclerosis aneurysms of the coronary arteries J Thorac Cardiovasc Surg 1974;68:226-228.[Medline]
  4. Robinson FC. Aneurysms of the coronary arteries Am Heart J 1985;109:129-134.[Medline]
  5. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients Br Heart J 1985;54:392-395.[Abstract/Free Full Text]
  6. Vlodaver Z, Coe JI, Edwards JE. True and false left ventricular aneurysms: propensity for the latter to rupture Circulation 1975;51:567-572.[Abstract/Free Full Text]
  7. Auella RJ, Hankins JR, Turney SZ, Cowley RA. Ruptured thoracic aorta due to blunt trauma J Trauma 1977;17:199-205.[Medline]



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This Article
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Right arrow Alert me when this article is cited
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Google Scholar
Right arrow Articles by Cohen, A. J.
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PubMed
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Right arrow Articles by Cohen, A. J.
Right arrow Articles by Edwards, F. H.