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Eur J Cardiothorac Surg 2008;34:668. doi:10.1016/j.ejcts.2008.06.023
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Surgical correction of a giant aneurysm of the left main coronary artery

Andreas Bairaktaris, Soren Schenk*, Oliver Grimmig, Reiner Koerfer

Heart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany

Received 6 February 2008; received in revised form 26 May 2008; accepted 5 June 2008.

* Corresponding author. Address: Heart and Diabetes Center NRW, Thoracic and Cardiovascular Surgery, Georgstr. 11, 32545 Bad Oeynhausen, Germany. Tel.: +49 5731 97 1331. (Email: sschenk{at}arcor.de).

Key Words: Coronary aneurysm • Surgical revascularization • Aneurysm reconstruction

Angiography revealed a giant aneurysm of the left main coronary artery, partially obstructing the left anterior descending and circumflex arteries (Fig. 1A). The aneurysm was reconstructed by exclusion of excessive cavity, leaving a 5 mm tunnel (Fig. 1B and C) that was found patent 8 months post-surgery (Fig. 1D).


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  		Fig. 1. Angiographic (A) and intraoperative findings (B and C) of a giant aneurysm of the left main coronary artery, extending over 3.2 cm in diameter. Angiographic CT scan at 8 months post-reconstruction shows the patent left main coronary artery without recurrent dilation (D). Arrows indicate the coronary aneurysm. LAD: left anterior descending artery; RCX: circumflex artery, RCA: right coronary artery; LCA: left coronary artery, AV: aortic valve.

 





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Reiner Koerfer
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Right arrow Coronary disease

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