Oswal Ashwini, Mehra Arun, Karbhase Jayant, Johari Ashish, Karatela Rubina, Shivdasani Bharat
Jaslok Hospital, Mumbai, India.
J Card Surg. 2011 May;26(3):319-21. doi: 10.1111/j.1540-8191.2011.01246.x.
Coexistent aneurysms of the coronary and inominate arteries are extremely rare. We present the case of a 28-year-old male with an aneurysm of the left anterior descending coronary artery and an aneurysm of the inominate artery presenting with hoarseness and severely depressed left ventricular function (ejection fraction of 25%). He underwent successful surgical resection of both aneurysms. The inominate artery aneurysm was excised and the brachiocephalic trunk was reconstructed off-pump. The coronary artery aneurysm was excised and distal aorto-coronary bypass grafting was done on cardiopulmonary bypass.
冠状动脉和无名动脉并存的动脉瘤极为罕见。我们报告一例28岁男性患者，患有左前降支冠状动脉瘤和无名动脉瘤，表现为声音嘶哑和左心室功能严重减退（射血分数为25%）。他接受了两个动脉瘤的成功手术切除。无名动脉瘤被切除，头臂干在非体外循环下进行重建。冠状动脉瘤被切除，在体外循环下进行了远端主动脉 - 冠状动脉搭桥术。
