Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

Danielle Maria Mullis; Daniel Alnasir; Alyssa Garrison; Nataly Montano Vargas; Lilian Tsai; John Ward MacArthur

doi:doi:10.11648/j.ijcts.20241004.12

Case Report |

| Peer-Reviewed

Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

Danielle Maria Mullis

, Daniel Alnasir

, Alyssa Garrison

, Nataly Montano Vargas

, Lilian Tsai

, John Ward MacArthur^*

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 10, Issue 4)

Received: 27 October 2024 Accepted: 11 November 2024 Published: 28 November 2024

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Abstract

Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 10, Issue 4)
DOI	10.11648/j.ijcts.20241004.12
Page(s)	56-61
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Giant Coronary Artery Aneurysm, Right Coronary Artery, Bypass Grafting, Arterial Grafts

References

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Cite This Article

Plain Text BibTeX RIS

APA Style

Mullis, D. M., Alnasir, D., Garrison, A., Vargas, N. M., Tsai, L., et al. (2024). Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. International Journal of Cardiovascular and Thoracic Surgery, 10(4), 56-61. https://doi.org/10.11648/j.ijcts.20241004.12

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ACS Style

Mullis, D. M.; Alnasir, D.; Garrison, A.; Vargas, N. M.; Tsai, L., et al. Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. Int. J. Cardiovasc. Thorac. Surg. 2024, 10(4), 56-61. doi: 10.11648/j.ijcts.20241004.12

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AMA Style

Mullis DM, Alnasir D, Garrison A, Vargas NM, Tsai L, et al. Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. Int J Cardiovasc Thorac Surg. 2024;10(4):56-61. doi: 10.11648/j.ijcts.20241004.12

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@article{10.11648/j.ijcts.20241004.12,
  author = {Danielle Maria Mullis and Daniel Alnasir and Alyssa Garrison and Nataly Montano Vargas and Lilian Tsai and John Ward MacArthur},
  title = {Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting
},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {10},
  number = {4},
  pages = {56-61},
  doi = {10.11648/j.ijcts.20241004.12},
  url = {https://doi.org/10.11648/j.ijcts.20241004.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20241004.12},
  abstract = {Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

AU  - Danielle Maria Mullis
AU  - Daniel Alnasir
AU  - Alyssa Garrison
AU  - Nataly Montano Vargas
AU  - Lilian Tsai
AU  - John Ward MacArthur
Y1  - 2024/11/28
PY  - 2024
N1  - https://doi.org/10.11648/j.ijcts.20241004.12
DO  - 10.11648/j.ijcts.20241004.12
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 61
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20241004.12
AB  - Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.

VL  - 10
IS  - 4
ER  -

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Author Information

Danielle Maria Mullis

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0000-0003-4743-0000
Daniel Alnasir

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0009-0006-6737-3380
Alyssa Garrison

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0009-0000-5050-1151
Nataly Montano Vargas

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0000-0003-4185-817X
Lilian Tsai

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0000-0001-6890-9622
John Ward MacArthur

Department of Cardiothoracic Surgery, Stanford University, Stanford, USA

Contact Email

http://orcid.org/0000-0003-3385-4216

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Plain Text BibTeX RIS

APA Style

Mullis, D. M., Alnasir, D., Garrison, A., Vargas, N. M., Tsai, L., et al. (2024). Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. International Journal of Cardiovascular and Thoracic Surgery, 10(4), 56-61. https://doi.org/10.11648/j.ijcts.20241004.12

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ACS Style

Mullis, D. M.; Alnasir, D.; Garrison, A.; Vargas, N. M.; Tsai, L., et al. Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. Int. J. Cardiovasc. Thorac. Surg. 2024, 10(4), 56-61. doi: 10.11648/j.ijcts.20241004.12

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AMA Style

Mullis DM, Alnasir D, Garrison A, Vargas NM, Tsai L, et al. Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting. Int J Cardiovasc Thorac Surg. 2024;10(4):56-61. doi: 10.11648/j.ijcts.20241004.12

Copy | Download

@article{10.11648/j.ijcts.20241004.12,
  author = {Danielle Maria Mullis and Daniel Alnasir and Alyssa Garrison and Nataly Montano Vargas and Lilian Tsai and John Ward MacArthur},
  title = {Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting
},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {10},
  number = {4},
  pages = {56-61},
  doi = {10.11648/j.ijcts.20241004.12},
  url = {https://doi.org/10.11648/j.ijcts.20241004.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20241004.12},
  abstract = {Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Exclusion of a Giant Right Coronary Artery Aneurysm with Concomitant Bypass Grafting

AU  - Danielle Maria Mullis
AU  - Daniel Alnasir
AU  - Alyssa Garrison
AU  - Nataly Montano Vargas
AU  - Lilian Tsai
AU  - John Ward MacArthur
Y1  - 2024/11/28
PY  - 2024
N1  - https://doi.org/10.11648/j.ijcts.20241004.12
DO  - 10.11648/j.ijcts.20241004.12
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 61
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20241004.12
AB  - Coronary artery aneurysms (CAAs) are defined as a dilation of 1.5 times the diameter of a normal adjacent coronary artery, and CAAs larger than 20 cm are classified as giant. CAAs are typically asymptomatic, but complications can be fatal. There is currently no consensus on treatment, although medical, percutaneous, and surgical options have all been previously described in the literature. Additionally, there is little published video footage of the surgical exclusion of giant coronary artery aneurysms. This report describes the case of a 53-year-old man with a persistent globus sensation who was found to have a 4.5 cm right coronary artery aneurysm with diffuse calcification of the right coronary artery. He underwent exclusion of the aneurysm and coronary artery bypass grafting (radial artery to the right coronary artery and left internal mammary artery to the left anterior descending artery). Due to heavy calcification in the vessel wall, the right coronary artery both proximal and distal to the aneurysm was ligated with a pericardial buttress. The patient had no major adverse events and was discharged six days after surgery. This report includes detailed video footage of the giant coronary artery aneurysm exclusion technique. This case and accompanying video footage will help prepare surgeons to manage adult patients with CAAs and diffuse coronary atherosclerosis.

VL  - 10
IS  - 4
ER  -

Copy | Download