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DOI: 10.1055/s-2006-923948
© Georg Thieme Verlag KG Stuttgart · New York
Giant Aneurysm of Left Anterior Descending Coronary Artery Treated by Surgical Off-Pump Therapy
Publication History
Received October 12, 2005
Publication Date:
10 August 2006 (online)
Abstract
Coronary artery aneurysms may predispose to acute thrombosis, embolisation and myocardial ischaemia or rupture with subsequent tamponade and/or sudden death. The optimal therapy for patients with coronary artery aneurysm is unknown, and controversy persists regarding the use of medical or surgical modalities. There is no doubt that surgical therapy is reserved for cases with large aneurysms or with myocardial ischaemia due to significant associated coronary artery stenoses. We discuss here the surgical management of a case with coronary artery aneurysm and concomitant coronary artery disease. Although the beating heart technique of myocardial revascularisation and repair of coronary artery aneurysm without cardiopulmonary bypass is not suitable for all patients, it should be considered for those high-risk patients who have impaired left ventricular function or who are at high risk for pulmonary or neurological complications.
Key words
Coronary artery aneurysm - atherosclerosis - off-pump coronary artery bypass
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MD Yildirim Imren
Gazi University Medical Faculty
Cardiovascular Surgery Department
Gazi Hospital Besevler 06500
Ankara
Turkey
Phone: + 903122026797
Fax: + 90 31 22 12 90 14
Email: yimren@gazi.edu.tr