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Eur J Cardiothorac Surg 2008;33:114. doi:10.1016/j.ejcts.2007.09.035
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Thrombotic occlusion of a giant coronary artery aneurysm

Rolf Svedjeholma,*, Tim Tödtb

a Department of Cardiothoracic Surgery, Linköping University Hospital, SE-581 85 Linköping, Sweden
b Department of Cardiology, Linköping University Hospital, SE-581 85 Linköping, Sweden

Received 20 July 2007; accepted 26 September 2007.

* Corresponding author. Tel.: +46 13 222000; fax: +46 13 100246. (Email: rolf.svedjeholm{at}lio.se).

Key Words: Coronary disease • Coronary artery aneurysm

A 64-year-old man presented with chest pain and ST elevations (leads II–III). Coronary angiography (Fig. 1 ) showed an occluded aneurysmatic RCA and stenosis of LAD. PCI failed and due to critical condition the patient underwent successful emergency CABG and exclusion of the aneurysm from the circulation (Fig. 2 ).


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  		Fig. 1. Angiography of the RCA.

 

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  		Fig. 2. The aneurysm (almost the size of a hen's egg) was opened and excluded from the circulation by occluding sutures from inside.

 





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