Surgical treatment of coronary artery aneurysms
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...
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| Veröffentlicht in: | Journal of cardiac surgery 2017-11, Vol.32 (11), p.674-679 |
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| container_title | Journal of cardiac surgery |
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| creator | Beckmann, Erik Rustum, Saad Marquardt, Steffen Merz, Constanze Shrestha, Malakh Martens, Andreas Haverich, Axel Ismail, Issam |
| description | 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. |
| doi_str_mv | 10.1111/jocs.13227 |
| format | Article |
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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.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.13227</identifier><identifier>PMID: 29027271</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cardiac Surgical Procedures - methods ; Constriction ; Coronary Aneurysm - complications ; Coronary Aneurysm - surgery ; coronary artery aneurysm ; Coronary Artery Bypass ; coronary artery disease ; Female ; Follow-Up Studies ; Humans ; Ligation ; Male ; Mammary Arteries - transplantation ; Marfan Syndrome - complications ; Middle Aged ; Mucocutaneous Lymph Node Syndrome - complications ; Time Factors ; total arterial myocardial revascularisation ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of cardiac surgery, 2017-11, Vol.32 (11), p.674-679</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3657-c010c1e007814ac400a644cd6cab08c1b95646a78ea676474d6ea639b68227e43</citedby><cites>FETCH-LOGICAL-c3657-c010c1e007814ac400a644cd6cab08c1b95646a78ea676474d6ea639b68227e43</cites><orcidid>0000-0002-2915-9045</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.13227$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.13227$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29027271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beckmann, Erik</creatorcontrib><creatorcontrib>Rustum, Saad</creatorcontrib><creatorcontrib>Marquardt, Steffen</creatorcontrib><creatorcontrib>Merz, Constanze</creatorcontrib><creatorcontrib>Shrestha, Malakh</creatorcontrib><creatorcontrib>Martens, Andreas</creatorcontrib><creatorcontrib>Haverich, Axel</creatorcontrib><creatorcontrib>Ismail, Issam</creatorcontrib><title>Surgical treatment of coronary artery aneurysms</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Constriction</subject><subject>Coronary Aneurysm - complications</subject><subject>Coronary Aneurysm - surgery</subject><subject>coronary artery aneurysm</subject><subject>Coronary Artery Bypass</subject><subject>coronary artery disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ligation</subject><subject>Male</subject><subject>Mammary Arteries - transplantation</subject><subject>Marfan Syndrome - complications</subject><subject>Middle Aged</subject><subject>Mucocutaneous Lymph Node Syndrome - complications</subject><subject>Time Factors</subject><subject>total arterial myocardial revascularisation</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OwzAQhC0EoqVw4QFQjggp7a7j2M4RRfyqUg-Fs-W4LkqV1MVOhPr2uKRwZC-zh29Hs0PINcIU48w2zoQpZpSKEzLGnEEqscBTMgYpeQqMwYhchLABoJRlcE5GtAAqqMAxmS17_1Eb3SSdt7pr7bZL3Doxzrut9vtE-84eZGt7vw9tuCRna90Ee3XUCXl_fHgrn9P54umlvJ-nJuO5SA0gGLQAQiLThgFozphZcaMrkAarIueMayGt5oIzwVY8bllRcRnfsCybkNvBd-fdZ29Dp9o6GNs0MYnrg8Iix5xn8TSidwNqvAvB27Xa-bqN4RWCOhSkDgWpn4IifHP07avWrv7Q30YigAPwVTd2_4-Vel2Uy8H0G6S4bxs</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Beckmann, Erik</creator><creator>Rustum, Saad</creator><creator>Marquardt, Steffen</creator><creator>Merz, Constanze</creator><creator>Shrestha, Malakh</creator><creator>Martens, Andreas</creator><creator>Haverich, Axel</creator><creator>Ismail, Issam</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2915-9045</orcidid></search><sort><creationdate>201711</creationdate><title>Surgical treatment of coronary artery aneurysms</title><author>Beckmann, Erik ; Rustum, Saad ; Marquardt, Steffen ; Merz, Constanze ; Shrestha, Malakh ; Martens, Andreas ; Haverich, Axel ; Ismail, Issam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3657-c010c1e007814ac400a644cd6cab08c1b95646a78ea676474d6ea639b68227e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Constriction</topic><topic>Coronary Aneurysm - complications</topic><topic>Coronary Aneurysm - surgery</topic><topic>coronary artery aneurysm</topic><topic>Coronary Artery Bypass</topic><topic>coronary artery disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ligation</topic><topic>Male</topic><topic>Mammary Arteries - transplantation</topic><topic>Marfan Syndrome - complications</topic><topic>Middle Aged</topic><topic>Mucocutaneous Lymph Node Syndrome - complications</topic><topic>Time Factors</topic><topic>total arterial myocardial revascularisation</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beckmann, Erik</creatorcontrib><creatorcontrib>Rustum, Saad</creatorcontrib><creatorcontrib>Marquardt, Steffen</creatorcontrib><creatorcontrib>Merz, Constanze</creatorcontrib><creatorcontrib>Shrestha, Malakh</creatorcontrib><creatorcontrib>Martens, Andreas</creatorcontrib><creatorcontrib>Haverich, Axel</creatorcontrib><creatorcontrib>Ismail, Issam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beckmann, Erik</au><au>Rustum, Saad</au><au>Marquardt, Steffen</au><au>Merz, Constanze</au><au>Shrestha, Malakh</au><au>Martens, Andreas</au><au>Haverich, Axel</au><au>Ismail, Issam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of coronary artery aneurysms</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2017-11</date><risdate>2017</risdate><volume>32</volume><issue>11</issue><spage>674</spage><epage>679</epage><pages>674-679</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>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.</abstract><cop>United States</cop><pmid>29027271</pmid><doi>10.1111/jocs.13227</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2915-9045</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Cardiac Surgical Procedures - methods Constriction Coronary Aneurysm - complications Coronary Aneurysm - surgery coronary artery aneurysm Coronary Artery Bypass coronary artery disease Female Follow-Up Studies Humans Ligation Male Mammary Arteries - transplantation Marfan Syndrome - complications Middle Aged Mucocutaneous Lymph Node Syndrome - complications Time Factors total arterial myocardial revascularisation Treatment Outcome Young Adult |
| title | Surgical treatment of coronary artery aneurysms |
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