Ascending Aorta Saccular Aneurysm: An Unexpected Reason For Acute RCA Occlusion
Journal Title: Acta Medica Ruha - Year 2023, Vol 1, Issue 3
Abstract
Saccular aortic aneurysms are rare pathologies which are true aneurysms that contain all histological layers of the aorta. Although an aortic diameter of 3 cm or more is generally accepted as an aneurysm, the surgical indication age is usually above 5 cm. SAA, on the other hand, can be operated by its diagnosis, since they are dysmorphic aneurysms and more prone to rupture regardless of their diameters. As in our case, a SAA may cause acute coronary syndromes, patients may apply with acute myocardial infarction. Although a SAA involving a coronary ostia is a very rare cause of acute coronary syndrome, it still should be kept in mind. In November 2022, A 57 year old male patient with inferior AMI due to an occlusive complication of a sacculary aneurysm involving the right coronary artery (RCA). Consequently, the patient was operated urgently. Aneurysm was excised and a graft coronary artery bypass was performed to RCA. Postoperative follow-up and treatment were uneventful and the patient was discharged on the 11th postoperative day.
Authors and Affiliations
Mustafa Abanoz, Mehmet Yazar, Süreyya Talay, Bişar Amaç
Keywords
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- EP ID EP722161
- DOI 10.5281/zenodo.8361390
- Views 46
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