Key result
Proximal end ligation and reverse saphenous vein graft bypass successfully treated a giant circumflex coronary artery aneurysm measuring 4.8 × 4.2 × 7.2 cm.
Surgical management via proximal end ligation and bypass with a reverse saphenous vein graft was successful for treating a giant coronary aneurysm of the circumflex artery.
Case adds to sparse reports on giant coronary aneurysms; hypothesis-generating, should not change practice.
We present a rare case of a giant coronary aneurysm of the circumflex artery measuring 4.8 × 4.2 × 7.2 cm in a 67-year-old man, recently diagnosed with type B aortic dissection. Surgical management was successfully performed by proximal end ligation and bypass of the dual-ostium distal end with a reverse saphenous vein graft.
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Soletti et al. (2021) studied this question. Proximal end ligation and reverse saphenous vein graft bypass successfully treated a giant circumflex coronary artery aneurysm measuring 4.8 × 4.2 × 7.2 cm.
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