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On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm

We present the case of an 86-year-old woman with a ruptured left coronary artery aneurysm associated with coronary-pulmonary artery fistula. She was transferred to our hospital with complaints of chest discomfort. Echocardiography revealed cardiac tamponade, and subsequently, a bloody pericardial ef...

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Autores principales: Hiromoto, Atsushi, Sakamoto, Shun-Ichiro, Suzuki, Kenji, Ishii, Yosuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209525/
https://www.ncbi.nlm.nih.gov/pubmed/37162439
http://dx.doi.org/10.1093/icvts/ivad067
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author Hiromoto, Atsushi
Sakamoto, Shun-Ichiro
Suzuki, Kenji
Ishii, Yosuke
author_facet Hiromoto, Atsushi
Sakamoto, Shun-Ichiro
Suzuki, Kenji
Ishii, Yosuke
author_sort Hiromoto, Atsushi
collection PubMed
description We present the case of an 86-year-old woman with a ruptured left coronary artery aneurysm associated with coronary-pulmonary artery fistula. She was transferred to our hospital with complaints of chest discomfort. Echocardiography revealed cardiac tamponade, and subsequently, a bloody pericardial effusion was drained. Coronary angiography and computed tomography revealed a ruptured left coronary artery aneurysm originating from a branch of the proximal left anterior descending artery and a coronary-pulmonary artery fistula. In the emergency operation, under cardiopulmonary bypass, the inlet and outlet vessels were ligated, and the aneurysm was closed without arresting the heart. By utilizing cardiopulmonary bypass, the pulmonary trunk was easily decompressed, and dissection around the aneurysm and identification of the inlet and outlet vessels was facilitated without cardiac arrest. Thus, to conclude, an on-pump beating-heart technique should be considered in such cases.
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spelling pubmed-102095252023-05-26 On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm Hiromoto, Atsushi Sakamoto, Shun-Ichiro Suzuki, Kenji Ishii, Yosuke Interdiscip Cardiovasc Thorac Surg Coronary Disease We present the case of an 86-year-old woman with a ruptured left coronary artery aneurysm associated with coronary-pulmonary artery fistula. She was transferred to our hospital with complaints of chest discomfort. Echocardiography revealed cardiac tamponade, and subsequently, a bloody pericardial effusion was drained. Coronary angiography and computed tomography revealed a ruptured left coronary artery aneurysm originating from a branch of the proximal left anterior descending artery and a coronary-pulmonary artery fistula. In the emergency operation, under cardiopulmonary bypass, the inlet and outlet vessels were ligated, and the aneurysm was closed without arresting the heart. By utilizing cardiopulmonary bypass, the pulmonary trunk was easily decompressed, and dissection around the aneurysm and identification of the inlet and outlet vessels was facilitated without cardiac arrest. Thus, to conclude, an on-pump beating-heart technique should be considered in such cases. Oxford University Press 2023-05-10 /pmc/articles/PMC10209525/ /pubmed/37162439 http://dx.doi.org/10.1093/icvts/ivad067 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Coronary Disease
Hiromoto, Atsushi
Sakamoto, Shun-Ichiro
Suzuki, Kenji
Ishii, Yosuke
On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title_full On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title_fullStr On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title_full_unstemmed On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title_short On-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
title_sort on-pump beating-heart technique for managing a ruptured left coronary artery aneurysm
topic Coronary Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209525/
https://www.ncbi.nlm.nih.gov/pubmed/37162439
http://dx.doi.org/10.1093/icvts/ivad067
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