Alternative Approach for the Surgical Treatment of Left Main Coronary Artery Aneurysm
- Resource Type
- Authors
- Remko Oortman; Steven Haine; Nicolas De Hous; Steven Laga
- Source
- The Annals of thoracic surgery. 108(2)
- Subject
- Pulmonary and Respiratory Medicine
Adult
Male
medicine.medical_specialty
Bypass grafting
030204 cardiovascular system & hematology
Coronary Angiography
03 medical and health sciences
Electrocardiography
0302 clinical medicine
Aneurysm
medicine
Myocardial Revascularization
Humans
cardiovascular diseases
Mammary Arteries
Surgical treatment
Coronary artery aneurysm
Surgical approach
medicine.diagnostic_test
business.industry
Coronary Aneurysm
medicine.disease
Coronary Vessels
Surgery
medicine.anatomical_structure
030228 respiratory system
cardiovascular system
Cardiology and Cardiovascular Medicine
Ligation
business
Artery
- Language
- ISSN
- 1552-6259
Left main coronary artery (LMCA) aneurysm is a very rare condition that usually requires surgical treatment. Although there is no consensus on the standard surgical technique, aneurysmal ligation with coronary artery bypass grafting is commonly used. This report presents a case of a giant LMCA aneurysm for which an alternative surgical approach was performed. The aneurysm was incised and partially resected. An interposition right internal thoracic artery graft from the LMCA to the left circumflex coronary artery was placed together with a left internal thoracic artery and free right internal thoracic artery graft. Postoperative imaging showed good patency of all grafts. This case demonstrates an effective approach for the surgical treatment of LMCA aneurysm that offers an alternative when other techniques are not desirable.