Giant coronary aneurysm presented initially as acute ventricular septal rupture in a 65-year-old man. At surgery, aneurysms measuring more than 10 cm each were found in the right coronary and left anterior descending arteries. The right coronary artery was bypassed and the aneurysm was plicated. A 2-cm ventricular septal defect was patched. Postoperatively, the patient's condition deteriorated and he succumbed to septic shock.
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References
1.
SyedMLeschM. Coronary artery aneurysm: A review. Prog Cardiovasc Dis1997;40: 77–84.
2.
LetacBCazorJLCribierASibilleCToussaintC. Large multiple aneurysm in adult patients: A report of three patients and review of literature. Am Heart J1980;99: 694–700.
3.
RobertsonTFisherL. Prognostic significance of coronary artery aneurysm and ectasia in the Coronary Artery Surgery Study (CASS) registry. In: ShulmanST, editor. Kawasaki disease. Proceedings of the Second International Kawasaki Symposium. New York: Liss, 1987: 325–39.
4.
WanSLeClercJLVachieryJLVincentJL. Cardiac tamponade due to spontaneous rupture of right coronary aneurysm. Ann Thorac Surg1996;62: 575–6.
5.
YilmazATArslanMOzalEByngolHTatarHOzturkOY. Coronary aneurysm associated with adult supravalvular aortic stenosis. Ann Thorac Surg1996;62; 1205–7.
6.
DaoudAPankinDTulganHFlorentinR. Aneurysms of the coronary artery. Report of ten cases and review of literature. Am J Cardiol1963;11: 228–37.
7.
QuinnVJBalochZChandrasekaranKRossJJKaralisDG. Coronary artery aneurysm masquerading as a paracardiac mass on transesophageal echocardiography. Am Heart J1994;127: 441–3.
