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Case report shows successful resection and saphenous vein grafting of a circumflex coronary artery aneurysm in a young adult, highlighting risks of thromboembolism.
A 31-year-old patient with symptoms suggesting acute myocardial infarction and subsequently found to have a large aneurysm of the circumflex branch of the left coronary artery is presented. This is thought to represent the first patient treated by resection and grafting of a coronary artery aneurysm by use of an interposed saphenous vein graft. The aneurysm was filled with friable blood clots, emphasizing the hazard of future embolizations. The etiology and indications for surgical resection are discussed.
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Ebert et al. (1971) studied this question.
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