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(Circulation. 1971;43:593.)
© 1971 American Heart Association, Inc.

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Resecting and Grafting of Coronary Artery Aneurysm

PAUL A. EBERT M.D.¹; ROBERT H. PETER M.D.¹; J. CAULIE GUNNELLS M.D.¹; DAVID C. SABISTON JR. M.D.¹

¹ From the Departments of Surgery and Medicine, Duke University Medical Center, Durham, North Carolina 27706.

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.

Key Words: Saphenous vein autograft

Submitted on August 11, 1970
Accepted on December 17, 1970

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