| Giant coronary aneurysms exceeding 5 cm in size. | |
| | |
MedLine Citation:
|
PMID: 22505591 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Giant coronary artery aneurysms (gCAAs) with a diameter exceeding 5 cm are extremely rare. The pathomechanisms and therapeutical measures in such cases have been controversial topics of discussion. Twenty-seven patients with gCAAs exceeding 5 cm in size described in the literature were evaluated. A case with multiple gCAAs at our department was included in the analysis. Apart from atherosclerosis of all coronary arteries, a large (1.5 2.5 cm) left anterior descending coronary artery aneurysm (CAA) and a gCAA (10.6 9.2 cm) originating from the right coronary artery, the latter causing recurrent myocardial ischaemia with the occlusion of the peripheral right coronary artery and compressing the right cardiac cavities, were the pathological findings in our 43-year old male patient. gCAAs predominantly develop at the proximal right coronary artery. The majority of these aneurysms develop secondary to atherosclerotic lesions in young patients. We performed a successful surgical excision of the right gCAA, tightening of the left anterior descending artery aneurysm and concomitant coronary artery bypass grafting. A pathological examination confirmed advanced atherosclerosis. Microbiological examinations could find no signs of infectious causes. CAAs bear a significant risk of severe complications and have a high risk of mortality. A more aggressive surgical approach should be recommended. |
| | |
Authors:
|
Andreas Keyser; Michael K Hilker; Oliver Husser; Claudius Diez; Christof Schmid |
Publication Detail:
|
Type: Case Reports; Journal Article; Review Date: 2012-04-14 |
Journal Detail:
|
Title: Interactive cardiovascular and thoracic surgery Volume: 15 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-06-22 Completed Date: 2012-10-29 Revised Date: 2013-04-16 |
Medline Journal Info:
|
Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
|
Languages: eng Pagination: 33-6 Citation Subset: IM |
Affiliation:
|
Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Coronary Aneurysm / etiology, pathology*, surgery Coronary Angiography Coronary Artery Bypass Coronary Artery Disease / complications*, surgery Coronary Stenosis / etiology, surgery Coronary Thrombosis / etiology, pathology*, surgery Coronary Vessels / pathology*, surgery Female Humans Male Middle Aged Myocardial Ischemia / etiology, surgery Recurrence Thrombectomy Treatment Outcome |
| Comments/Corrections | |
Comment In:
|
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):36
[PMID:
22723541
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spatial and temporal variability in response to hybrid electro-optical stimulation.
Next Document: Small field diode correction factors derived using an air core fibre optic scintillation dosimeter a...