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Case Reports
. 2021 May 1;16(7):1749-1753.
doi: 10.1016/j.radcr.2021.03.065. eCollection 2021 Jul.

A rare case of a giant circumflex coronary artery aneurysm 10 years after bentall surgery

Marcello Chiocchi  1 , Carlo Di Donna  1 , Alfredo Intorcia  2 , Luca Pugliese  1 , Vincenzo De Stasio  1 , Federica Di Tosto  1 , Luigi Spiritigliozzi  1 , Francesca D'Errico  1 , Leonardo Benelli  1 , Monia Pasqualetto  1 , Cecilia Cerimele  1 , Matteo Cesareni  1 , Francesco Grimaldi  1 , Francesco Paolo Sbordone  1 , Alessandra Luciano  1 , Mario Laudazi  1 , Carlotta Rellini  1 , Alessia Romeo  3 , Gianluca Vanni  4 , Daniele Morosetti  1 , Marco Di Luozzo  2 , Roberto Floris  1 , Francesco Romeo  2 , Francesco Giuseppe Garaci  1
Affiliations
Case Reports

A rare case of a giant circumflex coronary artery aneurysm 10 years after bentall surgery

Marcello Chiocchi et al. Radiol Case Rep. .

Abstract

In this paper, we describe a rare case of coronary artery aneurysms occasionally found on a pre interventional Coronary Computed Tomography Angiography performed on a 67-year-old man with a history of aneurysm of the ascending aorta previously treated with Bentall surgery, who arrived at our hospital to have a percutaneous valve-in-valve implantation procedure. Even though the patient was considered not eligible for the procedure, due to his many comorbidities, and conservatively managed, at 1-year followup his angiographic condition remained stable.

Keywords: Coronary artery aneurysm; Coronary computed tomography angiography; Transcatheter aortic valve replacement.

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Figures

Fig 1 –
Fig. 1
Cardiac CT scan evaluation shows the transverse diameter of the giant aneurysm of the left circumflex coronary artery (LCX) measured on an axial view obtained detecting the real axial plane of the vessel with multi-planar reconstruction (MPR). Ao, aorta; LA, left atrium; LV, left ventricle; RV, right ventricle; LCX, left circumflex coronary artery.
Fig 2 –
Fig. 2
(A) Axial Cardiac CT scan showing the origin of the left circumflex coronary artery (LCX). (B) Coronal Cardiac CT Multiplanar Reconstruction (MPR) showing the origin of LCX. (C) Axial Cardiac CT scan showing the distal tract of LCX.
Fig 3 –
Fig. 3
Volume Rendering of the heart with projections dedicated to the visualization of the giant aneurysm of the left circumflex coronary artery (LCX). Ao, aorta; PT, pulmonary trunk; LAD, left anterior descending artery; LCX, left circumflex coronary artery.
Fig 4 –
Fig. 4
Volume Rendering of a giant aneurysm of the left circumflex coronary artery (LCX). It is observed a reduced enhancement of the aneurysmatic sac due to the turbulence of the blood flow. The left anterior descending artery (LAD) and right coronary artery (RCA) appear ectatic. Drug eluted stents are documented downstream of the aneurysm on the origin of the first marginal branch and right coronary artery. Ao, aorta; LAD, left anterior descending artery. LCX, left circumflex coronary artery; RCA, right coronary artery; LMCA, left main coronary artery.
See this image and copyright information in PMC

References

    1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997;40(1):77–84. - PubMed
    1. Abou Sherif S, Ozden Tok O, Taskoylu O, Goktekin O, Kilic ID. Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment. Front Cardiovasc Med. 2017;4:24. - PMC - PubMed
    1. Li D, Wu Q, Sun L, Song Y, Wang W, Pan S. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg. 2005;130(3):817–821. - PubMed
    1. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax. 1968;23(4):338–339. - PMC - PubMed
    1. Meijboom LJ, Nollen GJ, Merchant N, Webb GD, Groenink M, David TE. Frequency of coronary ostial aneurysms after aortic root surgery in patients with the Marfan syndrome. Am J Cardiol. 2002;89(9):1135–1138. - PubMed

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