A Novel Hybrid Approach to the Treatment of a Left Main Coronary Artery Aneurysm

Rhian E. Davies, DO, MS; Amy E. Cheney, MD; James M. McCabe, MD; Khaldoon Alaswad, MD; William L. Lombardi, MD

JACC: Case Reports (Sep 2020)

A Novel Hybrid Approach to the Treatment of a Left Main Coronary Artery Aneurysm

Rhian E. Davies, DO, MS,
Amy E. Cheney, MD,
James M. McCabe, MD,
Khaldoon Alaswad, MD,
William L. Lombardi, MD

Affiliations

Rhian E. Davies, DO, MS: Division of Cardiology, University of Washington, Seattle, Washington; Address for correspondence: Dr. Rhian E. Davies, University of Washington Medical Center, 1959 NE Pacific Street, Seattle, Washington 98195-6171.
Amy E. Cheney, MD: Division of Cardiology, University of Washington, Seattle, Washington
James M. McCabe, MD: Division of Cardiology, University of Washington, Seattle, Washington
Khaldoon Alaswad, MD: Division of Cardiology, Henry Ford Health System, Detroit, Michigan
William L. Lombardi, MD: Division of Cardiology, University of Washington, Seattle, Washington

Journal volume & issue: Vol. 2, no. 11
pp. 1675 – 1678

Abstract

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A 66-year-old man with a ramus chronic total occlusion had escalating angina and a high-risk stress test. Coronary angiography the day of his planned ramus chronic total occlusion percutaneous coronary intervention demonstrated a large left main aneurysm. He underwent bypass with left internal mammary artery left anterior descending and failed saphenous vein graft ramus, followed by successful covered stent placement from left main into left circumflex and ramus chronic total occlusion percutaneous coronary intervention. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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