Three Year Follow-Up of a Vein Patch Repair for a Coronary Artery Saccular Aneurysm of the Left Main Bifurcation

Kawase, Yasuhiro; Ishii, Yôsuke; Yoshio, Takahide; Nishina, Dai; Bessho, Ryuzo; Nitta, Takashi

doi:10.5761/atcs.cr.16-00064

Cited by 4 publications

(1 citation statement)

References 11 publications

(16 reference statements)

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“…If the pseudoaneurysm is large, there is a possibility of rupture, necessitating endovascular treatment, including coronary angioplasty with a covered stent or coil embolization. Surgical procedures include removal of the pseudo-aneurysm with simultaneous CABG [ 13 , 14 ], the interposition of a graft in situ after pseudoaneurysm resection [ 15 , 16 ], and coronary patch formation [ 17 , 18 ]. Since endovascular treatment was considered difficult in this case due to severe coronary artery calcification, we selected surgical treatment consisting of patch repair of the LAD and CABG.…”

Section: Discussionmentioning

confidence: 99%

Anterior Descending Coronary Artery Pseudoaneurysm in an 85-Year-Old Male Hemodialysis Patient: A Surgical Case Report

Hayakawa¹,

Miyagi²,

Hirata³

et al. 2023

Am J Case Rep

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Objective:Rare disease Background:Coronary artery pseudoaneurysm is an extremely rare condition. In this report, we describe an 85-year-old hemodialysis male patient who developed a coronary artery pseudoaneurysm due to physical damage associated with coronary artery calcification. Case Report:An 85-year-old man on hemodialysis had undergone emergency percutaneous coronary intervention of the left anterior descending artery for acute coronary syndrome 9 years ago. He presented to the emergency room with a fever and chest pain and was admitted to the cardiology department with a urinary tract infection and acute coronary syndrome. On day 21 after admission, when the urinary tract infection had resolved, coronary angiography was performed, which revealed a pseudoaneurysm proximal to the left anterior descending artery stent.The patient was scheduled to undergo surgery due to the pseudoaneurysm's risk of rupture. Surgical manipulation was performed under cardiac arrest using the median sternotomy approach. A highly calcified coronary intima was found inside the pseudoaneurysm, which was completely ruptured on the proximal side of the pseudoaneurysm. The pseudoaneurysm was closed after endarterectomy. A coronary artery bypass graft was also performed in the great saphenous vein graft of the left anterior descending artery. Histopathological examination showed no obvious signs of infection, and a diagnosis of pseudoaneurysm was established. Postoperative contrast-enhanced computed tomography showed patency of the coronary artery bypass graft and no pseudoaneurysm recurrence. Conclusions:Coronary artery pseudoaneurysms are extremely rare, but this case demonstrates that atherosclerotic changes can lead to the formation of a pseudoaneurysm in an elderly hemodialysis patient.

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Section: Discussionmentioning

confidence: 99%

Anterior Descending Coronary Artery Pseudoaneurysm in an 85-Year-Old Male Hemodialysis Patient: A Surgical Case Report

Hayakawa¹,

Miyagi²,

Hirata³

et al. 2023

Am J Case Rep

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Surgical Treatment for a Coronary Artery Saccular Aneurysm Located in the Left Main Trunk

et al. 2018

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A 67-year-old man was admitted to our hospital with a complaint of heart failure. He had a 12-year history of chronic renal failure and hemodialysis. Coronary angiography confirmed the presence of a saccular aneurysm originating from the calcificated left main trunk with coronary artery stenosis. The aneurysm was successfully treated by saphenous vein patch repair of the orifice and coronary revascularization of the left anterior descending and circumflex arteries. A histological examination of the aneurysm wall demonstrated coronary artery dissection. Postoperative coronary angiography 2 weeks after surgery revealed no evidence of residual aneurysm and showed patent bypass grafts. Jpn. J. Cardiovasc. Surg. 47 : 178 182 2018 coronary artery saccular aneurysm ; left main trunk ; vein patch coronary angioplasty ; atherosclerosis ; coronary artery dissection CT 67 12 174 cm 57.9 kg 124 52 mmHg 78 36.2 12 78

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Autologous Pericardial Patch Closure for a Giant Right Coronary Artery Aneurysm with a Coronary Arteriovenous Fistula

Shimizu

Nishigawa

et al. 2020

J. J. C. V. S.

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Three Year Follow-Up of a Vein Patch Repair for a Coronary Artery Saccular Aneurysm of the Left Main Bifurcation

Cited by 4 publications

References 11 publications

Anterior Descending Coronary Artery Pseudoaneurysm in an 85-Year-Old Male Hemodialysis Patient: A Surgical Case Report

Anterior Descending Coronary Artery Pseudoaneurysm in an 85-Year-Old Male Hemodialysis Patient: A Surgical Case Report

Surgical Treatment for a Coronary Artery Saccular Aneurysm Located in the Left Main Trunk

Autologous Pericardial Patch Closure for a Giant Right Coronary Artery Aneurysm with a Coronary Arteriovenous Fistula

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