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Eur J Cardiothorac Surg 2007;32:661. doi:10.1016/j.ejcts.2007.06.045
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Images in cardio-thoracic surgery

Anatomic repair of a left main coronary artery aneurysm

Friedrich S. Ecksteina,*, Stephan Windeckerb, Thierry P. Carrela

a Clinic for Cardiovascular Surgery, University Hospital Berne, Switzerland
b Clinic for Cardiology, University Hospital Berne, Switzerland

Received 7 May 2007; received in revised form 31 May 2007; accepted 14 June 2007.

* Corresponding author. Address: Clinic for Cardiovascular Surgery, University Hospital Berne, Freiburgstrasse, CH-3010 Berne, Switzerland. Tel.: +41 31 6322111; fax: +41 31 6322919. (Email: friedrich.Eckstein{at}insel.ch).

Key Words: Coronary • Aneurysm • Reconstruction

A 45-year-old male presented with acute anterior infarction. Coronary angiography revealed a 20 mm x 30 mm left main coronary artery (LMCA) aneurysm (Fig. 1 ). After separation of the pulmonary artery, anatomic reconstruction of the LMCA using a Y-bifurcated vein graft segment was performed (Fig. 2 ). The LAD was additionally grafted with the left ITA.


Figure 1
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  		Fig. 1. Left main coronary artery with the LAD and the CX arteries originating from the huge aneurysm.

 

Figure 2
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  		Fig. 2. Postoperative image after 6 months with reconstructed left main stem and still patent LITA to LAD.

 





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