Format

Send to

Choose Destination
See comment in PubMed Commons below
Interact Cardiovasc Thorac Surg. 2013 Oct;17(4):632-6. doi: 10.1093/icvts/ivt282. Epub 2013 Jun 26.

Surgical treatment for coronary artery aneurysm: a single-centre experience.

Author information

1
Department of Cardiothoracic and Vascular Surgery, King George's Medical University, Lucknow, India.

Abstract

OBJECTIVES:

Coronary artery aneurysm is a rare condition with a reported incidence of 0.14-4.9% in patients undergoing coronary angiography and 0.3-5.3% in patients after percutaneous transluminal coronary angioplasty (PTCA). Optimum surgical therapy for this entity is difficult to standardize. We present here a series of 4 cases with the aim of establishing an optimal surgical therapy for this rare entity.

METHODS:

Four cases of coronary artery aneurysm were admitted in the Department of Cardiology and Department of Cardiothoracic and Vascular Surgery, King George's Medical University, Lucknow, from April 2010 to April 2012. All patients underwent a surgical procedure that involved ligation and plication of the aneurysm with coronary artery bypass grafting.

RESULTS:

Out of the four coronary artery aneurysm patients, 1 was atherosclerotic and the remaining 3 patients developed coronary artery aneurysm after PTCA with a drug eluting stent to the left anterior descending artery. After surgery, all patients recovered uneventfully without any recurrence of symptoms in the follow-up.

CONCLUSIONS:

Coronary artery aneurysm is a rare entity and is being seen more frequently with the increasing use of stents during PTCA. Proximal ligation and plication of the aneurysm with coronary artery bypass grafting in the present series provided good results. With this case series, we seek to establish an optimal surgical therapy for this rare entity.

KEYWORDS:

Aneurysm (Coronary); Coronary artery bypass grafting; Coronary percutaneous intervention; Stents (Coronary)

Comment in

PMID:
23803224
PMCID:
PMC3781802
DOI:
10.1093/icvts/ivt282
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Support Center