Multiple giant coronary artery aneurysms with extended coronary ectasia emerging 12 years after previous coronary artery bypass grafting

Taro Fujii; Masato Mutsuga; Yuji Narita; Yoshiyuki Tokuda; Sachie Terazawa; Hideki Ito; Wataru Uchida; Satoshi Yuhara; Akihiko Usui

doi:10.1177/2050313X221116681

Multiple giant coronary artery aneurysms with extended coronary ectasia emerging 12 years after previous coronary artery bypass grafting

SAGE Open Med Case Rep. 2022 Aug 5:10:2050313X221116681. doi: 10.1177/2050313X221116681. eCollection 2022.

Authors

Taro Fujii¹, Masato Mutsuga¹, Yuji Narita¹, Yoshiyuki Tokuda¹, Sachie Terazawa¹, Hideki Ito¹, Wataru Uchida¹, Satoshi Yuhara¹, Akihiko Usui¹

Affiliation

¹ Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Abstract

A 73-year-old man presented with multiple giant coronary artery aneurysms. Twelve years prior to the presentation, he had undergone coronary artery bypass grafting. At that time, he exhibited small aneurysms (16 mm diameter) in the right coronary artery and a single aneurysm (10 mm diameter) in the left circumflex artery. During follow-up, the aneurysms gradually increased in size (to 45 and 30 mm, respectively, at 12 years after surgery). We resected all of the aneurysms and performed coronary artery bypass grafting of the left circumflex artery through re-sternotomy.

Keywords: Coronary artery aneurysms; coronary artery ectasia; post operation.

Publication types

Case Reports