Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, 2006-
    • Subject Terms:
      Coronary Aneurysm*/diagnostic imaging ; Coronary Aneurysm*/etiology ; Coronary Aneurysm*/surgery ; Myocardial Infarction*; Adult ; Aorta ; Aortic Valve ; Female ; Humans ; Replantation
    • 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.
      (© 2021. The Author(s).)
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    • Contributed Indexing:
      Keywords: Aortic root replacement; Coronary button aneurysm; Coronary ostial aneurysm
    • Publication Date:
      Date Created: 20210907 Date Completed: 20211015 Latest Revision: 20211015
    • Publication Date:
      20231215
    • Accession Number:
      PMC8422648
    • Accession Number:
      10.1186/s13019-021-01645-1
    • Accession Number:
      34488827