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Surgical treatment of a giant aneurysm of the left anterior descending artery presenting with ischemia
  • +3
  • Nikolaos Kosmas,
  • Ioannis Andreou,
  • Vasilios Kollias,
  • Konstantinos Stamoulis,
  • Dimitrios Vrachatis A,
  • Spyridon Deftereos G
Nikolaos Kosmas
Panepistemiako Geniko Nosokomeio Attikon - B Kardiologike Klinike

Corresponding Author:[email protected]

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Ioannis Andreou
Panepistemiako Geniko Nosokomeio Attikon - B Kardiologike Klinike
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Vasilios Kollias
Panepistemiako Geniko Nosokomeio Attikon
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Konstantinos Stamoulis
Panepistemiako Geniko Nosokomeio Attikon - B Kardiologike Klinike
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Dimitrios Vrachatis A
Panepistemiako Geniko Nosokomeio Attikon - B Kardiologike Klinike
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Spyridon Deftereos G
Panepistemiako Geniko Nosokomeio Attikon - B Kardiologike Klinike
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Abstract

A 70-year-old man presented to our hospital with non-ST elevation myocardial infarction and severely depressed left ventricular systolic function. Coronary angiogram revealed a giant fusiform aneurysm of the proximal left anterior descending artery with significant stenoses immediately proximal and distal to it and a left circumflex chronic total occlusion. The patient was treated surgically, with ligation and bypass of the aneurysm using a radial artery graft and a vein graft to the first obtuse marginal branch.