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Open AccessCase report

Successful surgical treatment of a giant coronary artery aneurysm presenting with recurrent profuse haemoptysis

Opoku-Ware Mensah1 email, Philip AR Hayward1 email, Michael Koeppe2 email and Christof Huth2 email

Essex Cardiothoracic Centre, Basildon, UK

Klinik für Herz- und Thoraxchirurgie der Otto-von-Guericke-Universität Magdeburg, Germany

author email corresponding author email

Journal of Cardiothoracic Surgery 2008, 3:36doi:10.1186/1749-8090-3-36

Published: 29 June 2008

Abstract

We present the case of successful resection of a giant aneurysm of the LAD presenting with recurrent severe haemoptysis in a 72-year old man. He was admitted to a regional hospital with fever, recurrent bloody sputum, weight loss and left sided chest pain, and developed respiratory failure requiring ventilation. Investigations are summarised and reviewed and the diagnosis was eventually reached by TTE, CT and MRI scans, confirmed by coronary angiography. Successful emergency surgery to resect the aneurysm and put a vein graft to the LAD is described. The presentation and management of coronary giant aneurysm is reviewed.


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