Keyser, Andreas and Hilker, Michael K. and Husser, Oliver and Diez, Claudius and Schmid, Christof (2012) Giant coronary aneurysms exceeding 5 cm in size. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 15 (1). pp. 33-36. ISSN 1569-9293, 1569-9285
Full text not available from this repository. (Request a copy)Abstract
Giant coronary artery aneurysms (gCAAs) with a diameter exceeding 5 cm are extremely rare. The pathomechanisms and therapeutical measures in such cases have been controversial topics of discussion. Twenty-seven patients with gCAAs exceeding 5 cm in size described in the literature were evaluated. A case with multiple gCAAs at our department was included in the analysis. Apart from atherosclerosis of all coronary arteries, a large (1.5 x 2.5 cm) left anterior descending coronary artery aneurysm (CAA) and a gCAA (10.6 x 9.2 cm) originating from the right coronary artery, the latter causing recurrent myocardial ischaemia with the occlusion of the peripheral right coronary artery and compressing the right cardiac cavities, were the pathological findings in our 43-year old male patient. gCAAs predominantly develop at the proximal right coronary artery. The majority of these aneurysms develop secondary to atherosclerotic lesions in young patients. We performed a successful surgical excision of the right gCAA, tightening of the left anterior descending artery aneurysm and concomitant coronary artery bypass grafting. A pathological examination confirmed advanced atherosclerosis. Microbiological examinations could find no signs of infectious causes. CAAs bear a significant risk of severe complications and have a high risk of mortality. A more aggressive surgical approach should be recommended.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ARTERY ANEURYSMS; PREVALENCE; ECTASIA; DISEASE; Giant coronary aneurysm; Pathomechanism; Coronary atherosclerosis; Surgery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 May 2020 05:46 |
| Last Modified: | 11 May 2020 05:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/18465 |
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