Surgery for a giant atherosclerotic left main trifurcation saccular coronary artery aneurysm

SARICAOĞLU M. C., Corbacioglu Y., BOĞA S. A., SEZGİN EMÜLER D., DİNÇER İ., AKAR A. R.

Perfusion (United Kingdom), vol.40, no.6, pp.1504-1507, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 40 Issue: 6
  • Publication Date: 2025
  • Doi Number: 10.1177/02676591241296714
  • Journal Name: Perfusion (United Kingdom)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, MEDLINE
  • Page Numbers: pp.1504-1507
  • Keywords: coronary aneurysm, coronary angiography, coronary artery bypass, coronary artery disease, coronary vessels
  • Ankara University Affiliated: Yes

Abstract

Aneurysms of the left main coronary artery are rare clinical entities with an incidence of 0.1%. We herein report a case of left main trifurcation aneurysm in a 57-year-old woman whose coronary angiography demonstrated a giant saccular aneurysm of trifurcation of the left main coronary artery, measuring 32 × 21 mm with tight post-aneurysmal stenosis in the intermediate artery. The patient underwent coronary artery bypass grafting following the resection of CAA and reconstruction with saphenous vein roof-plasty, which ensured the preservation of the native coronary vasculature. At the 6-month follow-up, she remained asymptomatic and preserved preoperative left ventricular function.