Coronary artery aneurysm: management and association with abdominal aortic aneurysm

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
Giovanni MariscalcoAndrea Sala

Abstract

Coronary artery aneurysm (CAA) is a dilatation that exceeds 1.5 times the diameter of a normal adjacent coronary artery. Several studies suggest that pathogenetic mechanisms involved in this disease and in abdominal aortic aneurysm (AAA) are similar. Surgery for CAA is mandatory when the aneurysm is three to four times larger than the original vessel diameter. We reviewed our experience in the surgical treatment of this unusual disease and analyzed its association with AAA. Between October 1993 and March 2005, 11 patients (9 men; mean age=66 years) underwent surgery for CAA. In all cases, coronary aneurysms were diagnosed as incidental findings in coronary angiographies. The coronary aneurysms were isolated and longitudinally incised: the proximal and distal openings were identified and sutured. The sacs were obliterated with running sutures. Myocardial protection was achieved by retrograde cardioplegia only. Coronary artery bypass grafting was performed distally to the excluded aneurysms in all patients. One patient died of respiratory failure early after the operations; all other patients are alive, asymptomatic for angina, and free from repeated acute myocardial infarction after a median follow-up of 76 months (range=4-141 m...Continue Reading

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Citations

Jun 6, 2015·The Annals of Thoracic Surgery·John R Mehall, Jordan L Verlare
Feb 23, 2008·Journal of Cardiac Surgery·Giovanni MariscalcoAndrea Sala
Nov 14, 2006·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·François HaddadSharon A Hunt
May 1, 2012·International Journal of Surgery Case Reports·Andriy SolodkyyNorman P Briffa
May 10, 2019·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Kenshi YoshimuraShinji Miyamoto
Sep 20, 2018·Case Reports in Surgery·Kostas KostopanagiotouMazen Khoury
Nov 20, 2016·Journal of Forensic Sciences·Martin JaníkIvo Šteiner
Jan 11, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jean JeudyAletta Ann Frazier
May 10, 2008·Archives of Pathology & Laboratory Medicine·Larry NicholsAnil Parwani

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