A Case of Giant Coronary Aneurysm of the Septal Branch
10.4326/jjcvs.43.154
- VernacularTitle:心室中隔枝に生じた冠動脈瘤の治療経験
- Author:
Naoki Kanemitsu
;
Kazuo Yamanaka
;
Takeshi Nishina
;
Keiichi Hirose
;
Akihiro Mizuno
;
Daisuke Nakatsuka
;
Yuki Hori
;
Daisuke Yasumizu
;
Masashi Yada
- Publication Type:Journal Article
- Keywords:
septal branch;
coronary aneurysm;
surgery
- From:Japanese Journal of Cardiovascular Surgery
2014;43(3):154-157
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of septal branch aneurysm. A 61-year-old woman was referred to our hospital because of heart murmur. Septal branch aneurysm (25×15 mm) was diagnosed by echocardiography and coronary angiography, and followed up annually with multi-detector row computed tomography (MDCT). Nine years later, another aneurysm proximal to the known aneurysm, which protruded above the epicardium, has rapidly dilated from 5 to 11 mm. We therefore performed closure of the orifice of the septal branch concomitant with bypass grafting ; left internal mammary artery to distal LAD. After the procedure, the aneurysm in the septum had completely collapsed. Her postoperative course was uneventful.