Surgical treatment of coronary artery aneurysms

Abstract

Introduction: Coronary artery aneurysms (CAA) are rare. We present our experience

Giant coronary artery aneurysm with a coronary artery fistula to the pulmonary artery

“…Coronary artery aneurysms (CAA) may arise form the left main coronary artery and all three major branches are at risk for rupture, may fistulize into the pulmonary artery (PA), or present as a pericardial mass. [1][2][3][4][5][6][7] We present images of a giant left CAA with a coronary artery fistula (CAF) to the PA. (Figure 1). An intravascular ultrasound showed that the CAA arose from the left anterior descending (LAD) artery.…”

Left main coronary artery aneurysm presenting with unstable angina

“…Coronary artery aneurysms may present with angina, involve both the right and left coronary arteries and the left main trunk, and fistulize into the pulmonary artery, or present as a pericardial mass. [1][2][3][4][5][6][7] We present the images of a giant left coronary artery aneurysm extending from the left main trunk and extending into the left anterior descending (LAD) presenting with unstable angina.…”

Surgical repair of bilateral coronary artery fistulae and a left main coronary artery aneurysm following a failed percutaneous embolization

“…Coronary artery aneurysms (CAA) may involve all branches of the coronary artery vasculature including the left main coronary artery (LMCA), and may require transection of the aorta and pulmonary artery (PA) for exposure to perform the repair. [1][2][3][4] In addition to rupture, CAAs may also fistulize to other structures including the PA 5,6 and left ventricle. 7 Although percutaneous coils have been used to occlude coronary artery fistulas (CAF), 8 surgery remains the definitive therapy for CAF associated with CAAs.…”