Surgical Treatment of Ruptured Coronary Artery Aneurysm
- VernacularTitle:冠動脈瘤破裂に対して外科的加療により救命し得た1例
- Author:
Daiki SATO
1
;
Yuta KUME
1
;
Yukihiro BONKOHARA
1
Author Information
- Keywords: coronary artery aneurysm; coronary-pulmonary artery fistula; ruptured coronary artery aneurysm
- From:Japanese Journal of Cardiovascular Surgery 2024;53(2):74-77
- CountryJapan
- Language:Japanese
- Abstract: A 50-year-old man was referred to our hospital due to chest pain and loss of consciousness. Diagnosed with cardiac tamponade, he underwent emergency percutaneous pericardial drainage and endotracheal intubation. AAD was not found, although aortic root dissection was suspected from the CT scan and CAG. The MDCT revealed a 16 mm ruptured coronary artery aneurysm connected to the LMT with a CA-PA fistula. Urgently, coronary artery aneurysmectomy, CA-PA fistula repair, and CABG were performed, and the postoperative course was smooth. Surgery reports for ruptured coronary artery aneurysm are rare, so we report the successful surgical case.
