Surgical Management of a Giant Right Coronary Artery Aneurysm

Authors

  • Artan Jahollari
  • Atilla Sarac
  • Olta Tafaj
  • Ertugrul Ozal

DOI:

https://doi.org/10.1532/HSF98.2014349

Abstract

Coronary artery aneurysm (CAA) is a rare entity, defined as localized dilation that exceeds the normal vessel diameter by a factor of 1.5. A giant CAA is described as a very large dilation, when diameter exceeds 20 mm. CAA has a preva-lence of 0.02% [Markis 1976]. Different factors may lead to CAA formation, including Kawasaki disease, atherosclerosis, congenital malformations, autoimmune and infectious disor-ders, and percutaneous interventions [Hartnell 1985]. Man-agement of these patients remains controversial due to a lack of data from large series studies.

We reported a case of a young female patient, who pre-sented with an acute inferior infarction and was diagnosed with a giant right coronary artery (RCA) aneurysm. She underwent aneurysmectomy and revascularization on a beat-ing heart through a right lateral thoracotomy. Due to the minimally invasive nature of this procedure, the patient was able to recover quickly without substantial cosmetic changes.

References

Harandi S, Johnston SB, Wood RE, Roberts WC. 1999. Operative therapy of coronary arterial aneurysm. Am J Cardiol 83:1290-3.nHartnell GG, Parnell BM, Pridie RB. 1985. Coronary artery ectasia: its prevalence and clinical significance in 4993 patients. Br Heart J 54:392-5.nLima B, Varma SK, Lowe JE. 2006. Nonsurgical management of left main coronary artery aneurysms: report of 2 cases and review of the literature. Tex Heart Inst J 33:376-9.nMarkis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. 1976. Clinical significance of coronary arterial ectasia. Am J Cardiol 37:217.nNichols L, Lagana S, Parwani A. 2008. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 132:823-8.nSingh SK, Goyal T, Sethi R, et al. 2013. Surgical treatment for coronary artery aneurysm: a single-centre experience. Interact CardioVasc Thorac Surg 17:632-7.nSzalat A, Durst R, Cohen A, Lotan C. 2005. Use of polytetrafluoroethylene covered stent for treatment of coronary artery aneurysm. Catheter Cardiovasc Interv 66:203-8.nZeb M, McKenzie DB, Scott PA, Talwar S. 2012. Treatment of coronary aneurysms with covered stents: a review with illustrated case. J Invasive Cardiol 24:465-9.n

Published

2014-09-01

How to Cite

Jahollari, A., Sarac, A., Tafaj, O., & Ozal, E. (2014). Surgical Management of a Giant Right Coronary Artery Aneurysm. The Heart Surgery Forum, 17(4), E237-E238. https://doi.org/10.1532/HSF98.2014349

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