1. Large left main coronary artery aneurysm following mitral and aortic valve replacement
- Author
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Gorka Bastarrika, Gregorio Rábago Juan-Aracil, Ignacio Bibiloni Lage, Patricia Pisonero Alonso, and Cristian Delgado Domínguez
- Subjects
Pulmonary and Respiratory Medicine ,Coronary artery aneurysm ,medicine.medical_specialty ,business.industry ,030204 cardiovascular system & hematology ,medicine.disease ,Sudden death ,Surgery ,Angina ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,030228 respiratory system ,Aortic valve replacement ,Internal medicine ,cardiovascular system ,medicine ,Cardiology ,cardiovascular diseases ,Myocardial infarction ,Tamponade ,Transthoracic echocardiogram ,Cardiology and Cardiovascular Medicine ,business - Abstract
Left main coronary artery aneurysm is an extremely uncommon coronary pathology that can present with angina, myocardial infarction, pericardial tamponade, or sudden death, and whose treatment still remains controversial. Here, we present a 64-year-old woman admitted due to angina with a previous mitral and aortic valve replacement. Transthoracic echocardiogram revealed an aortic prosthesis dysfunction and preoperative angiogram showed a large left main coronary artery aneurysm. Surgical aneurysm exclusion with concomitant coronary artery bypass grafting and aortic prosthesis replacement were performed after defining the aneurysm’s anatomical details and relationship using contrast-enhanced computed tomography.
- Published
- 2017
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