Surgical Treatment for a Coronary Artery Saccular Aneurysm Located in the Left Main Trunk
- VernacularTitle:Surgical Treatment for a Coronary Artery Saccular Aneurysm Located in the Left Main Trunk
- Author:
Kimihiro YOSHIMOTO
1
;
Masakazu KAWASAKI
1
;
Hideyuki KUNISHIGE
1
;
Nozomu INOUE
1
;
Yoshimitsu ISHIBASHI
1
Author Information
- Keywords: coronary artery saccular aneurysm; left main trunk; vein patch coronary angioplasty; atherosclerosis; coronary artery dissection
- From:Japanese Journal of Cardiovascular Surgery 2018;47(4):178-182
- CountryJapan
- Language:Japanese
- Abstract: A 67-year-old man was admitted to our hospital with a complaint of heart failure. He had a 12-year history of chronic renal failure and hemodialysis. Coronary angiography confirmed the presence of a saccular aneurysm originating from the calcificated left main trunk with coronary artery stenosis. The aneurysm was successfully treated by saphenous vein patch repair of the orifice and coronary revascularization of the left anterior descending and circumflex arteries. A histological examination of the aneurysm wall demonstrated coronary artery dissection. Postoperative coronary angiography 2 weeks after surgery revealed no evidence of residual aneurysm and showed patent bypass grafts.
