Surgical Treatment of Ruptured Coronary Artery Aneurysm

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  • Sato Daiki
    Department of Cardiovascular Surgery, National Hospital Organization Yokohama Medical Center
  • Kume Yuta
    Department of Cardiovascular Surgery, National Hospital Organization Yokohama Medical Center
  • Bonkohara Yukihiro
    Department of Cardiovascular Surgery, National Hospital Organization Yokohama Medical Center

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  • 冠動脈瘤破裂に対して外科的加療により救命し得た1例

Abstract

<p>A 50-year-old man was referred to our hospital due to chest pain and loss of consciousness. Diagnosed with cardiac tamponade, he underwent emergency percutaneous pericardial drainage and endotracheal intubation. AAD was not found, although aortic root dissection was suspected from the CT scan and CAG. The MDCT revealed a 16 mm ruptured coronary artery aneurysm connected to the LMT with a CA-PA fistula. Urgently, coronary artery aneurysmectomy, CA-PA fistula repair, and CABG were performed, and the postoperative course was smooth. Surgery reports for ruptured coronary artery aneurysm are rare, so we report the successful surgical case.</p>

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