Giant right coronary artery aneurysm: the saphenous vein bridge technique

Abstract

A giant coronary artery aneurysm is defined as an irreversible dilation that is 1.5-times more than the diameter of a healthy adjacent coronary artery. It is a rare disease with an incidence of 0.2% to 4.9%. Coronary artery aneurysms are usually corrected with a coronary artery bypass graft. We describe how to perform a saphenous vein bridge to repair a giant coronary artery aneurysm. When applicable, this technique allows sparing of the coronary artery ostia and restores the coronary anatomy.

Keywords: Coronary artery; Coronary artery aneurysm; Coronary artery bypass grafting; Coronary artery disease; Coronary surgery; Right coronary artery anomaly; Saphenous vein graft; Saphenous vein graft bridge; Saphenous vein graft interposition.