Okamoto Hiroshi, Fujimoto Yasuyuki
Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.
Kyobu Geka. 2018 Nov;71(12):1035-1037.
Coronary artery aneurysm is a rare disease and its surgical indication is still controversial. We present a 63-year-old male having left main coronary artery aneurysm with 6 mm in diameter and symptomatic severe triple vessel disease. It was saccular and expanding into the myocardium. The patient successfully underwent off-pump quadruple coronary artery bypass and suture ligation of the aneurysmal neck. We believe that this technique is effective and less invasive to manage small or medium-sized coronary artery aneurysm in case aneurysmal shape, size, and location should be fitting for it.
冠状动脉瘤是一种罕见疾病，其手术指征仍存在争议。我们报告一例63岁男性患者，患有直径6毫米的左主干冠状动脉瘤并伴有有症状的严重三支血管病变。该动脉瘤呈囊状并向心肌内扩展。患者成功接受了非体外循环下的冠状动脉四支血管搭桥术及动脉瘤颈部缝合结扎术。我们认为，对于中小型冠状动脉瘤，若其形状、大小和位置适合，该技术有效且创伤较小。
