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Thorac Cardiovasc Surg Rep 2016; 05(01): 57-59
DOI: 10.1055/s-0036-1586232
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Redo Operation of Recurrent Giant Coronary Artery Aneurysm: Optimizing Surgical Strategy

Julia Hillebrand
1   Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany
,
Andreas Rukosujew
1   Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany
,
Sven Martens
1   Department of Cardiothoracic Surgery-Division of Cardiac Surgery, University Hospital of the Westfaelische Wilhelms-University Muenster, Muenster, Germany
,
Dirk Boese
2   Department of Cardiology, Klinikum Arnsberg, Karolinen-Hospital, Arnsberg-Huesten, Germany
› Author Affiliations
Further Information

Publication History

13 May 2016

17 June 2016

Publication Date:
16 September 2016 (online)

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Abstract

Background Giant coronary artery aneurysms (GCAA) are extremely rare, but they can cause life-threatening complications. Indications for surgical intervention are the occurrence of complications such as fistulas, compression, embolization, or rapid enlargement. The optimal therapeutic approach is still under debate.

Until now, there are no publications dealing with the follow-up after surgical treatment. Moreover, the surgical strategy in redo operations has not been described yet.

Case Description We report on surgery in a 50-year-old man with a recurrent GCAA after previous dissection and reduction.

Conclusion Our recommendation is complete resection and bypassing instead of a mere diameter reduction to avoid further progression of the disease.

Keywords

cardiac anatomy - pathologic anatomy - reoperation - cardiovascular surgery
 

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