Surgical treatment of giant coronary artery aneurysm.
- Author:
Dian-yuan LI
1
;
Shang-shou HU
;
Li-zhong SUN
;
Yun-hu SONG
;
Wei WANG
;
Shi-wei PAN
;
Hong ZHAO
;
Guo-hua LUO
;
Yong-min LIU
;
Zhi-tao QI
;
Tian-fu TAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Coronary Aneurysm; pathology; surgery; Coronary Artery Bypass; Coronary Vessels; pathology; surgery; Female; Follow-Up Studies; Humans; Male; Middle Aged; Surgical Procedures, Operative; methods; Treatment Outcome
- From: Chinese Journal of Surgery 2006;44(22):1535-1537
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the clinical features and surgical treatments of giant coronary artery aneurysm (CAA).
METHODSFrom July 1996 to October 2004, 6 giant CAA patients were underwent surgery at Fuwai hospital. Three cases were underwent CAA resection, 2 concomitant coronary bypass, 3 reconstruction. The giant CAA was often combined with other cardiac diseases. Four cases underwent additional procedures of fistula closure, 3 aortic valve replacements, 2 aortoplasty and 1 thrombus cleaning at the same time.
RESULTSAll patients recovered uneventfully. The mean of cardiopulmonary bypass time was (144 +/- 26) min (range 67 to 207 min). Aortic cross clamping time was (104 +/- 21) min (range 56 to 172 min). Patients follow-up time occurred from 8 to 87 months (mean of 48 months). All patients were free of symptoms during follow-up. None of the patients died during the follow-up period and none of the CAA recurred.
CONCLUSIONSThe giant CAA is a serious cardiovascular disease, early diagnosis and surgical treatment are mandatory.
