Asian Annals
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Asian Cardiovasc Thorac Ann 2000;8:175-177
© 2000 Asia Publishing EXchange Pte Ltd


CASE STUDY

Giant Coronary Aneurysm Presenting as Acute Ventricular Septal Rupture

Naik Madhava Janardhan, MD, FRCS, Lim Chong Hee, MD, FRCS, Ding Zee Pin, MD, Chua Yeow Leng, MD, FRCS

Department of Cardiothoracic Surgery
National Heart Centre
Singapore, Republic of Singapore
For reprint information contact: Naik Madhava Janardhan, MD, FRCS Tel: 65 436 7598 Fax: 65 224 3632 email: mnaik{at}pacific.net.sg Department of Cardiothoracic Surgery, National Heart Centre, 17 Third Hospital Avenue, Mistri Wing, Singapore 168752, Republic of Singapore.
Giant coronary aneurysm presented initially as acute ventricular septal rupture in a 65-year-old man. At surgery, aneurysms measuring more than 10 cm each were found in the right coronary and left anterior descending arteries. The right coronary artery was bypassed and the aneurysm was plicated. A 2-cm ventricular septal defect was patched. Postoperatively, the patient's condition deteriorated and he succumbed to septic shock.







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