Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion
Joint Authors
Raja, Shahzad G.
Barr, James
Acharya, Metesh Nalin
Kourliouros, Antonios
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Giant coronary artery aneurysms are rare clinical entities.
We report the case of a 49-year-old man who presented with dyspnoea and exertional chest pain.
Investigations confirmed an aneurysmal right coronary artery measuring 4 cm with a fistulous communication to the right atrium.
Following right atriotomy, the fistula was oversewn and the aneurysmal right coronary artery ligated at its origin and at several points along its course.
A saphenous vein graft was anastomosed to the posterior descending artery.
Persistent ventricular fibrillation occurred upon chest closure, attributed to ischaemia following ligation of the aneurysmal coronary artery.
Emergent resternotomy and internal defibrillation were successfully performed.
The sternum was stented open to reduce right ventricular strain and closed the following day.
The patient made an unremarkable recovery.
We here address the technical challenges associated with surgical repair of right coronary aneurysms and the physiology and management of potential complications.
American Psychological Association (APA)
Barr, James& Acharya, Metesh Nalin& Kourliouros, Antonios& Raja, Shahzad G.. 2016. Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102747
Modern Language Association (MLA)
Barr, James…[et al.]. Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion. Case Reports in Surgery No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102747
American Medical Association (AMA)
Barr, James& Acharya, Metesh Nalin& Kourliouros, Antonios& Raja, Shahzad G.. Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102747
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102747