Andriy Solodkyy1, Joseph Shalhoub, Govind Chetty, Norman P Briffa. 1. Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield, UK; Department of Vascular Surgery, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK.
Abstract
INTRODUCTION: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare. PRESENTATION OF CASE: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair. DISCUSSION: Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance. CONCLUSIONS: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.
INTRODUCTION: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare. PRESENTATION OF CASE: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair. DISCUSSION: Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance. CONCLUSIONS: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.
Authors: F W Mohr; V Falk; R Autschbach; A Diegeler; B Schorn; A Weyland; M Vettelschoss; B Frank; J Gummert; H Dalichau Journal: Circulation Date: 1995-01-15 Impact factor: 29.690