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Left Anterior Descending Coronary Aneurysm

Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

Luca A Vricella, MD Tel: +1 443 287 1262 Fax: +1 410 955 3809 Email: lvricella{at}jhmi.edu, Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N Wolfe St, Baltimore, MD 21287, USA.

A 19-year-old man presented with gradual onset of retrosternal chest pain and hemodynamic instability. Echocardiography and computed tomography showed substantial anterior and posterior pericardial effusion with tamponade. At surgery, a 3-cm ruptured aneurysm of the left anterior descending coronary artery was identified. It was successfully bypassed using a saphenous vein graft anastomosed to the ascending aorta.

Key Words: Aneurysm • Ruptured • Coronary Vessel Anomalies • Pericardial Effusion

Asian Cardiovasc Thorac Ann 2009; 17:82-83
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102537