Surgical Treatment of Coronary Pseudoaneurysm: A Case Report and Literature Review

Authors

  • Haiyan Xiang Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Rifeng Gao Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Juesheng Yan Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Juxiang Li Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Jin Li Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Fei Lu Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China
  • Yanhua Tang Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, Jiangxi Province, China

DOI:

https://doi.org/10.1532/hsf.2651

Keywords:

mediastinal occupying lesion, coronary artery pseudoaneurysm, surgical procedure, coronary angiography

Abstract

A coronary pseudoaneurysm is a rare complication of chest trauma. In this report, we describe the case of a 65-year-old man with a mediastinal lesion. On admission, he complained of chest tightness and dry cough, and a pseudoaneurysm was confirmed in the left anterior descending branch of the coronary artery on chest computerized tomography, angiography, and coronary angiography. The patient had experienced chest trauma 5 years previously. With the help of extracorporeal bypass surgery, the pseudoaneurysm was resected under direct observation. The patient recovered well after surgery. Traumatic coronary artery pseudoaneurysms usually are asymptomatic and often misdiagnosed. Preoperative coronary angiography is a crucial diagnostic used for deciding appropriate surgical management.

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Published

2020-05-06

How to Cite

Xiang, H., Gao, R., Yan, J., Li, J., Li, J., Lu, F., & Tang, Y. (2020). Surgical Treatment of Coronary Pseudoaneurysm: A Case Report and Literature Review . The Heart Surgery Forum, 23(3), E287-E291. https://doi.org/10.1532/hsf.2651

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