Chinese Journal of Surgery 2006;44(22):1535-1537

Surgical treatment of giant coronary artery aneurysm.

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

Affiliations

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Country

China

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.