Miyaki Yasuko, Higami Tetsuya, Watanabe Keisuke, Ezaki Kaori, Aoki Takanori, Nishida Haruto, Akimitsu Tadafumi
Department of Cardiovascular Surgery, Oita Cardiovascular Hospital, Oita, Japan.
Kyobu Geka. 2024 Jun;77(6):415-421.
The case is a 76-year-old woman. She was admitted to the hospital because of chest and back pain. Coronary angiography revealed a 62-mm giant coronary artery aneurysm originating from the left main trunk( LMT), and urgent surgery was performed. Coronary artery-pulmonary artery fistula along with coronary artery aneurysm was completely removed by surgery. In this case, the reconstruction strategy for the LMT was crucial. The aneurysm wall was completely resected, allowing the coronary artery to return to its original course, and the length of the LMT defect was <2 cm. We determined that anatomical reconstruction of the LMT was optimal and succeeded in replacing a short great saphenous vein corresponding to the length of the defect. The patient was discharged without any complications.
