Mycotic Coronary Artery Aneurysm From Fungal Prosthetic Valve Endocarditis Wing Yeen, MBBS, MBA, Antonio Panza, MD, Stephen Cook, MD, Christopher Warrell,

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Mycotic Coronary Artery Aneurysm From Fungal Prosthetic Valve Endocarditis Wing Yeen, MBBS, MBA, Antonio Panza, MD, Stephen Cook, MD, Christopher Warrell, BS, Benjamin Sun, MD, Juan A. Crestanello, MD The Annals of Thoracic Surgery Volume 84, Issue 1, Pages 280-282 (July 2007) DOI: 10.1016/j.athoracsur.2007.02.005 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Patient 1: (A) Preoperative coronary angiogram showing left anterior descending coronary artery (LAD) aneurysm (arrow). (B) Intraoperative picture showing the proximal (*) and distal LAD (**), the saphenous vein interposition graft already sutured to the proximal LAD, and the mouth of the aneurysm. (C) Completed interposition graph showing the proximal (*) and distal LAD (**). The Annals of Thoracic Surgery 2007 84, 280-282DOI: (10.1016/j.athoracsur.2007.02.005) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Patient 1: A three-dimensional coronary magnetic resonance angiogram demonstrating patency of the interposition graft between the proximal and distal left anterior descending coronary artery (arrow). The Annals of Thoracic Surgery 2007 84, 280-282DOI: (10.1016/j.athoracsur.2007.02.005) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Patient 2: (A) Embolic occlusion of the left anterior descending coronary artery (LAD) (arrow). (B) Preoperative coronary angiogram showing the LAD in-stent stenosis (hollow arrow) and aneurysm (solid arrow). (C) Intraoperative picture showing the debrided segment of the LAD with a probe in the proximal (*) and distal LAD lumen (**). The Annals of Thoracic Surgery 2007 84, 280-282DOI: (10.1016/j.athoracsur.2007.02.005) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions