Abstract
We report a 33-year-old woman who had a 60-mm thoracic aneurysm of the ascending aorta with Marfan syndrome and effort angina due to compression of the right coronary artery (RCA) by the aneurysm. Surgery was performed using the Bentall procedure and a coronary artery bypass graft to the RCA. Postoperatively, coronary angiography showed that the coronary flow of the RCA was restored by removing the aneurysmal compression. The patient was discharged without angina on postoperative day 21.
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References
RE Pyeritz (1993) ArticleTitleMarfan syndrome: current and future clinical and genetic management of cardiovascular manifestations Semin Thorac Cardiovasc Surg 5 11–6 Occurrence Handle8424997 Occurrence Handle1:STN:280:ByyC2cvksVI%3D
DL Marsalese DS Moodie M Vacante BW Lytle CC Gill R Sterba et al. (1989) ArticleTitleMarfan's syndrome: natural history and long-term follow-up of cardiovascular involvement J Am Coll Cardiol 14 422–8 Occurrence Handle2526834 Occurrence Handle10.1016/0735-1097(89)90197-6 Occurrence Handle1:STN:280:BiaA38jnsVA%3D
AC Galloway SB Colvin CL LaMendola JB Hurwitz FG Baumann LJ Harris et al. (1989) ArticleTitleTen-year operative experience with 165 aneurysms of the ascending aorta and aortic arch Circulation 80 IssueID3 Pt 1 I249–56 Occurrence Handle2670328 Occurrence Handle1:STN:280:BiaA2MrjvFY%3D
JK Shin JP Jung CR Park SG Lee ES Shin SJ Kim et al. (2005) ArticleTitleAcute myocardial infarction due to unruptured aneurysm of left sinus of valsalva with aortic valve regurgitation J Card Surg 20 545–8 Occurrence Handle16309407 Occurrence Handle10.1111/j.1540-8191.2005.00107.x
TT Bashour F Chen A Yap DT Mason N Baladi (1996) ArticleTitleFatal myocardial ischemia caused by compression of the left coronary system by a large left sinus of Valsalva aneurysm Am Heart J 132 1050–2 Occurrence Handle8892784 Occurrence Handle10.1016/S0002-8703(96)90022-8 Occurrence Handle1:STN:280:ByiD2cjpsVc%3D
AC Ferreira E de Marchena M Mayor H Bolooki (1996) ArticleTitleSinus of Valsalva aneurysm presenting as myocardial infarction during dobutamine stress test Cathet Cardiovasc Diagn 39 400–2 Occurrence Handle8958431 Occurrence Handle10.1002/(SICI)1097-0304(199612)39:4<400::AID-CCD16>3.0.CO;2-G Occurrence Handle1:STN:280:ByiC3MjjslE%3D
M Karck K Kallenbach C Hagl C Rhein R Leyh A Haverich (2004) ArticleTitleAortic root surgery in Marfan syndrome: comparison of aortic valve-sparing reimplantation versus composite grafting J Thorac Cardiovasc Surg 127 391–8 Occurrence Handle14762346 Occurrence Handle10.1016/j.jtcvs.2003.07.049
L Tambeur TE David M Unger S Armstrong J Ivanov G Webb (2000) ArticleTitleResults of surgery for aortic root aneurysm in patients with the Marfan syndrome Eur J Cardiothorac Surg 17 415–9 Occurrence Handle10773564 Occurrence Handle10.1016/S1010-7940(00)00379-1 Occurrence Handle1:STN:280:DC%2BD3c3jslagtQ%3D%3D
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Minami, H., Asada, T., Gan, K. et al. Myocardial ischemia due to compression of an unruptured thoracic aortic aneurysm in a patient with Marfan syndrome. Gen Thorac Cardiovasc Surg 55, 248–251 (2007). https://doi.org/10.1007/s11748-007-0113-y
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DOI: https://doi.org/10.1007/s11748-007-0113-y