Japanese Journal of Cardiovascular Surgery Vol.45, No.3

Excision of a Giant Coronary Artery Aneurysm Located Immediately Proximal to the LAD and Closure of Its Stump with LITA Patch and CABG to LAD
Masato Suzuki* Fumikazu Nomura* Yohei Ohkawa*
Akira Adachi* Kisyu Fujita* Takemi Ohno*

(Department of Cardiovascular Surgery, Hokkaido Ohno Hospital*, Sapporo, Japan)

A 52-year old man was referred to our hospital for atrial fibrillation ablation therapy. A multislice computed tomography study demonstrated a giant coronary artery aneurysm situated just proximal to the left anterior descending(LAD), LAD stenosis and coronary-pulmonary artery fistula. The fistula was ligated and the aneurysm was resected under cardiopulmonary bypass. The left internal thoracic artery was used as a bypass graft to the LAD as well as a patch for closure of the LAD orifice to avoid left circumflex artery stenosis. We report a rare case of giant LAD aneurysm with coronary-pulmonary artery fistula.


Jpn. J. Cardiovasc. Surg. 45:115-120(2016)

Keywords:giant coronary artery aneurysm;coronary-pulmonary artery fistula;internal thoracic artery patch

Copyright ©2016 By Japanese Society for Cardiovascular Surgery All rights reserved.