Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement
Abstract Background Aneurysmal degeneration of the coronary button after aortic root replacement using the button technique is a rare but potentially life-threatening complication. However, the appropriate management of this complication, including the indications for conservative and surgical treat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01645-1 |
| _version_ | 1819129255247740928 |
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| author | Kimihiro Kobayashi Yoshinori Kuroda Masahiro Mizumoto Atsushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Tetsuro Uchida |
| author_facet | Kimihiro Kobayashi Yoshinori Kuroda Masahiro Mizumoto Atsushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Tetsuro Uchida |
| author_sort | Kimihiro Kobayashi |
| collection | DOAJ |
| description | Abstract Background Aneurysmal degeneration of the coronary button after aortic root replacement using the button technique is a rare but potentially life-threatening complication. However, the appropriate management of this complication, including the indications for conservative and surgical treatment, is still unknown. Case presentation Here we present a 38-year-old woman who successfully underwent surgical repair of a left coronary button aneurysm using the graft interposition technique 24 years after aortic root replacement. Because follow-up computed tomography after aortic root replacement showed a progressively enlarging left coronary button aneurysm, the patient was judged an acceptable candidate for surgical treatment, considering the potential risk of aneurysmal rupture and subsequent myocardial infarction. The postoperative recovery was uneventful. The patient is doing well 1 year after the surgery. Conclusions We believe that serial follow-up using computed tomography is mandatory for coronary button aneurysms, and surgical intervention may be considered if progressive enlargement of the aneurysm is observed, especially in younger patients. |
| first_indexed | 2024-12-22T08:40:48Z |
| format | Article |
| id | doaj.art-6295a95224374c15a51b10536774b387 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T08:40:48Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-6295a95224374c15a51b10536774b3872022-12-21T18:32:13ZengBMCJournal of Cardiothoracic Surgery1749-80902021-09-011611410.1186/s13019-021-01645-1Left coronary button aneurysm presenting with progressive enlargement after aortic root replacementKimihiro Kobayashi0Yoshinori Kuroda1Masahiro Mizumoto2Atsushi Yamashita3Eiichi Ohba4Shingo Nakai5Tomonori Ochiai6Tetsuro Uchida7Second Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversityAbstract Background Aneurysmal degeneration of the coronary button after aortic root replacement using the button technique is a rare but potentially life-threatening complication. However, the appropriate management of this complication, including the indications for conservative and surgical treatment, is still unknown. Case presentation Here we present a 38-year-old woman who successfully underwent surgical repair of a left coronary button aneurysm using the graft interposition technique 24 years after aortic root replacement. Because follow-up computed tomography after aortic root replacement showed a progressively enlarging left coronary button aneurysm, the patient was judged an acceptable candidate for surgical treatment, considering the potential risk of aneurysmal rupture and subsequent myocardial infarction. The postoperative recovery was uneventful. The patient is doing well 1 year after the surgery. Conclusions We believe that serial follow-up using computed tomography is mandatory for coronary button aneurysms, and surgical intervention may be considered if progressive enlargement of the aneurysm is observed, especially in younger patients.https://doi.org/10.1186/s13019-021-01645-1Aortic root replacementCoronary button aneurysmCoronary ostial aneurysm |
| spellingShingle | Kimihiro Kobayashi Yoshinori Kuroda Masahiro Mizumoto Atsushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Tetsuro Uchida Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement Journal of Cardiothoracic Surgery Aortic root replacement Coronary button aneurysm Coronary ostial aneurysm |
| title | Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| title_full | Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| title_fullStr | Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| title_full_unstemmed | Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| title_short | Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| title_sort | left coronary button aneurysm presenting with progressive enlargement after aortic root replacement |
| topic | Aortic root replacement Coronary button aneurysm Coronary ostial aneurysm |
| url | https://doi.org/10.1186/s13019-021-01645-1 |
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