OBJECTIVE: To discuss the clinical features and surgical treatments of giant coronary artery aneurysm (CAA). METHODS: From July 1996 to October 2004, 6 giant CAA patients were underwent surgery at Fuwai hospital. Three cases were underwent CAA resection, 2 concomitant coronary bypass, 3 reconstruction. The giant CAA was often combined with other cardiac diseases. Four cases underwent additional procedures of fistula closure, 3 aortic valve replacements, 2 aortoplasty and 1 thrombus cleaning at the same time. RESULTS: All patients recovered uneventfully. The mean of cardiopulmonary bypass time was (144 +/- 26) min (range 67 to 207 min). Aortic crossclamping time was (104 +/- 21) min (range 56 to 172 min). Patients follow-up time occurred from 8 to 87 months (mean of 48 months). All patients were free of symptoms during follow-up. None of the patients died during the follow-up period and none of the CAA recurred. CONCLUSIONS: The giant CAA is a serious cardiovascular disease, early diagnosis and surgical treatment are mandatory.
[Surgical treatment of giant coronary artery aneurysm] Publishing Authors By Initials
[Surgical treatment of giant coronary artery aneurysm] Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Zhonghua wai ke za zhi [Chinese journal of surgery
VOLUME: 44
Page Numbers: 1535-7
Journal Abbreviation: Zhonghua Wai Ke Za Zhi
ISSN: 0529-5815
DAY: 15
MONTH: Nov
YEAR: 2006
[Surgical treatment of giant coronary artery aneurysm] Information
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LANGUAGE: chi
NlmUniqueID: 153611
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AFFILIATION: Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.
Country: China
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MEDLINETA: Zhonghua Wai Ke Za Zhi
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