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Isolated aneurysm of the anterior descending coronary artery Surgical treatment |
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| Authors: | Jack E Dawson Jr MD and Robert G Ellison MD FACC |
| Institution: | a From the Divisions of Cardiology and Thoracic and Cardiac Surgery, Medical College of Georgia, Augusta, Ga., USA * Presently Fellow in Medicine (Cardiology), Emory University School of Medicine, Atlanta, Ga., USA |
| Abstract: | The case of an asymptomatic 30 year old man with an aneurysm in the proximal portion of the anterior descending branch of the left coronary artery is presented. The aneurysm was discovered because of an abnormal cardiac silhouette on a chest roentgenogram. Coronary angiograms demonstrated a localized fusiform aneurysm without shunt or fistula. After excision of the aneurysm, continuity of the artery was reestablished with a free saphenous vein graft. An associated anteroseptal myocardial infarction at the time of operation was an anticipated complication. Repeat coronary angiograms demonstrated patency of the graft and good distal flow 3 months postoperatively. |
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