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. 2017 Dec;3(1):75.
doi: 10.1186/s40792-017-0347-6. Epub 2017 Jun 7.

A case of ruptured infective coronary artery aneurysm

Kayo Sugiyama  1 , Katsuhiko Matsuyama  2   3 , Keita Maruno  2 , Satoshi Takahashi  2 , Masahiko Kuinose  4 , Rena Nagashima  5 , Hitoshi Ogino  2
Affiliations

A case of ruptured infective coronary artery aneurysm

Kayo Sugiyama et al. Surg Case Rep. 2017 Dec.

Abstract

Infective coronary artery aneurysm is extremely rare and ruptured aneurysm is life-threatening. We report a case of ruptured coronary artery aneurysm, which was successfully treated by the patch closure technique and coronary artery bypass grafting. Pathological examination revealed purulent inflammation in the aneurysmal wall. Prompt diagnosis and appropriate treatment were essential.

Keywords: Coronary artery aneurysm; Coronary artery bypass grafting (CABG); Inflammatory aneurysm.

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Figures

Fig. 1
Fig. 1
Computed tomography showing pericardial effusion (solid arrow) and a coronary artery aneurysm (dotted arrow) with an enhanced wall
Fig. 2
Fig. 2
a Right coronary artery angiography showing severe stenosis. b Left Coronary artery angiography showing a saccular aneurysm of the left circumflex artery (solid arrow) and severe stenosis
Fig. 3
Fig. 3
A giant coronary artery aneurysm (solid arrow) originating from the circumflex coronary artery
Fig. 4
Fig. 4
Ligated aneurysm using mattress sutures and felt sheets (solid arrow)
Fig. 5
Fig. 5
Pathological examination of the aneurysmal wall showing severe inflammatory changes (invasion of neutrophils and lymph cells, granulation tissue, necrosis, and abscess)
See this image and copyright information in PMC

References

    1. Nicholas TK, Robert BK, Eugene HB, Donald BD, Frank LH. Cardiac surgery. 3. Churchil: Livingstone; 2003. pp. 411–2.
    1. Li D, Wu Q, Sun L, Song Y, Wang W, Pan S, Luo G, Liu Y, Qi Z, Tao T, Sun JZ, Hu S. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg. 2005;130:817–21. doi: 10.1016/j.jtcvs.2005.04.004. - DOI - PubMed
    1. Swaye PS, Fisher PD, Litwin P, Vignola PA, Judkins MP, Kemp HG, Mudd JG, Gosselin AJ. Aneurysmal coronary artery disease. Circulation. 1983;67:134–8. doi: 10.1161/01.CIR.67.1.134. - DOI - PubMed
    1. Syed M, Lesch M. Coronary artery aneurysm. A review. Prog Cardiovasc Dis. 1997;40:77–84. doi: 10.1016/S0033-0620(97)80024-2. - DOI - PubMed
    1. Diaz-Zamudio M, Bacilio-Perez U, Herrera-Zarza MC, Meave-Gonzalez A, Alexanderson-Rosas E, Zambrana-Balta GF, Kimura-Hayama ET. Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics. 2009;29(7):1939–54. doi: 10.1148/rg.297095048. - DOI - PubMed

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