Journal of cardiac surgery · 2021
Postangioplasty aneurysm of right coronary artery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Da Col Uberto, Pasquino Stefano, Di Bella Isidoro, Di Lazzaro Davide
Аннотация
BACKGROUND: Coronary artery aneurysms are an uncommon disease whose incidence ranges from 0.3% to 5.3%. The right coronary artery is affected in 40%-70% of cases. Percutaneous coronary angioplasty is among causative factors, in particular with stent implantation.
AIMS: We present a case of large postangioplasty aneurysm of the right coronary artery requiring surgical correction.
MATERIALS & METHODS: A 70-year-old man with history of multiple coronary angioplasty procedures was admitted with diagnosis of aneurysm of the right coronary artery at the site of past DES insertion.
RESULTS: Under cardiopulmonary bypass, the large aneurysm was incised and oversewn with final grafting of the posterior descending artery with in situ right internal mammary artery. The postoperative course was uneventful.
DISCUSSION: The treatment options for coronary artery aneurysms range from medical, percutaneous and surgical approaches.
CONCLUSION: In this case the surgical approach was indicated due to the large aneurysm and the high risk of rupture.
AIMS: We present a case of large postangioplasty aneurysm of the right coronary artery requiring surgical correction.
MATERIALS & METHODS: A 70-year-old man with history of multiple coronary angioplasty procedures was admitted with diagnosis of aneurysm of the right coronary artery at the site of past DES insertion.
RESULTS: Under cardiopulmonary bypass, the large aneurysm was incised and oversewn with final grafting of the posterior descending artery with in situ right internal mammary artery. The postoperative course was uneventful.
DISCUSSION: The treatment options for coronary artery aneurysms range from medical, percutaneous and surgical approaches.
CONCLUSION: In this case the surgical approach was indicated due to the large aneurysm and the high risk of rupture.