Surgical Treatment of Coronary Artery Aneurysms
| Autor: | Erik Beckmann, Saad Rustum, Issam Ismail, Constanze Merz, Steffen Marquardt, Andreas Martens, Malakh Shrestha, Axel Haverich |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Marfan syndrome Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Mucocutaneous Lymph Node Syndrome 030204 cardiovascular system & hematology Marfan Syndrome Coronary artery disease Young Adult 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Humans cardiovascular diseases Circumflex Cardiac Surgical Procedures Coronary Artery Bypass Mammary Arteries Surgical treatment Ligation Aged Aged 80 and over Coronary artery aneurysm business.industry Coronary Aneurysm Middle Aged medicine.disease Constriction Surgery Coronary arteries Treatment Outcome medicine.anatomical_structure 030228 respiratory system Right coronary artery Female Radiology Cardiology and Cardiovascular Medicine business Follow-Up Studies Artery |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 65:S1-S110 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-0037-1598706 |
| Popis: | Introduction Coronary artery aneurysms (CAA) are rare. We present our experience with the surgical treatment of patients with CAAs. Methods Between March 2000 and October 2016, 15 patients with CAA underwent surgery. Results Mean age of patients was 60 ± 16 years and 47% (n = 7) were male. Kawasaki syndrome was present in two (13%) patients and 7% (n = 1) patients had Marfan syndrome. Isolated CAAs were found in 73% (n = 11) and involvement of multiple vessels was present in 27% (n = 4) of patients. Coronary arteries (CA) affected by aneurysms were: 19% (n = 4) left main stem, 33% (n = 7) left anterior descending, 14% (n = 3) left circumflex, and 33% (n = 7) right coronary artery. The majority of patients (93%, n = 14) were operated on pump with a mean cross-clamp time of 51 ± 23 min. 53% (n = 8) of patients received total arterial CA bypass grafting, while the remaining patients (47%, n = 7) received venous ± internal thoracic artery grafts. Resection/ligation of CAA was performed in 27% (n = 4) of patients. In-hospital mortality was 0% (n = 0). Follow-up was complete for 100% of patients and comprised a total of 80 patient-years. During follow-up, only one patient (7%) required re-intervention. Conclusion Surgical treatment of CAA has good short- and long-term results. |
| Databáze: | OpenAIRE |
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