Combined Surgical Approach to Multiple Giant Coronary Artery Aneurysms


  • Kaan Inan
  • Alper Ucak
  • Burak Onan
  • Oral Hastaoglu
  • Veysel Temizkan
  • Ahmet Turan Yilmaz



Multiple giant coronary artery aneurysms are rare but can develop in the presence of an underlying atherosclerotic vessel disease. Nevertheless, there is no consensus on the ideal surgical treatment or on operative procedures, including aneurysm resection, ligation, distal bypass, and graft interposition. We present the case of a 72-year-old woman with a history of multiple arterial aneurysms who was admitted to the emergency clinic with sudden-onset chest pain and dyspnea. The patient's diagnosis was ischemic heart disease and multiple giant coronary artery aneurysms involving the left anterior descending coronary artery and the proximal and distal segments of the right coronary artery. We present a combined surgical approach to multiple giant coronary artery aneurysms associated with atherosclerosis.


Agarwal R, Jeevanandam V, Jolly N. 2007. Surgical treatment of a giant coronary artery aneurysm: a modified approach. Ann Thorac Surg 84:1392-4.nEshtehardi P, Cook S, Moarof I, Triller HJ, Windecker S. 2008. Giant coronary artery aneurysm. Circ Cardiovasc Interv 1:85-6.nFirstenberg MS, Azoury F, Lytle BW, Thomas JD. 2000. Interposition vein graft for giant coronary aneurysm repair. Ann Thorac Surg 70:1397-8.nHinterauer L, Roelli H, Goebel N, Steinbrunn W, Senning A. 1985. Huge left coronary artery aneurysm associated with multiple arterial aneurysms. Cardiovasc Intervent Radiol 8:127-30.nHirose K, Chikamori T, Hida S, et al. 2009. Prevalence of coronary heart disease in patients with aortic aneurysm and/or peripheral artery disease. Am J Cardiol 103:1215-20.nIwai-Tanako MI, Oikawa M, Yamaki T, et al. 2007. A case of recurrent myocardial infarction caused by a giant right coronary artery aneurysm. J Am Soc Echocardiogr 20:1318.e5-8.nJha NK, Ouda HZ, Khan JA, Eising GP, Augustin N. 2009. Giant right coronary artery aneurysm: case report and literature review. J Cardiothorac Surg 4:18.nLi D, Wu Q, Sun L, et al. 2005. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg 130:817-21.nSethi GK, Mullangi S, Goldman S. 2002. Multiple giant aneurysms of coronary arteries. Asian Cardiovasc Thorac Ann 10:55-7.nSyed M, Lesch M. 1997. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 40:77-84.nTakahashi M. 1996. Management of giant coronary aneurysms due to Kawasaki syndrome. ACC Curr J Rev 5:74-6.n



How to Cite

Inan, K., Ucak, A., Onan, B., Hastaoglu, O., Temizkan, V., & Yilmaz, A. T. (2009). Combined Surgical Approach to Multiple Giant Coronary Artery Aneurysms. The Heart Surgery Forum, 12(5), E294-E296.