Surgical treatment of giant saccular coronary artery aneurysm: a case report

Aneurysm of coronary arteries is rare and diagnosis is usually made accidentally during coronary angiography. Atherosclerosis, Kawasaki disease, autoimmune diseases and syphilis are among common etiologic factors. Spontaneous rupture of the aneurysmal sac, thrombosis and distal emboli are the major causes for mortality and morbidity. Treatment options vary from surgical intervention to conservative drug therapy such as antithrombotic treatment, depending on the localization and the dimensions of the lesion and the clinical outcome of the patient. In this article, we report a patient who underwent operation for giant saccular coronary artery aneurysm in the left anterior descending artery.