Presentation is loading. Please wait.

Presentation is loading. Please wait.

A novel surgical approach to left main coronary artery giant aneurysm thrombosis in a child with a history of Kawasaki disease  Jay D. Pruetz, MD, Masato.

Published byShon Anthony Modified over 5 years ago

Similar presentations

Presentation on theme: "A novel surgical approach to left main coronary artery giant aneurysm thrombosis in a child with a history of Kawasaki disease  Jay D. Pruetz, MD, Masato."— Presentation transcript:

1 A novel surgical approach to left main coronary artery giant aneurysm thrombosis in a child with a history of Kawasaki disease  Jay D. Pruetz, MD, Masato Takahashi, MD, Brian L. Reemtsen, MD, Vaughn A. Starnes, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 137, Issue 4, Pages (April 2009) DOI: /j.jtcvs Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Preoperative cardiac angiogram of a giant LMCA aneurysm with thrombus causing a filling defect of the proximal LAD and complete occlusion of the circumflex artery. B, Postoperative angiogram of the LMCA at 24 months showing widely patent repair that fills the LAD and septal perforating branches. The circumflex is fed entirely by collateral blood flow from the RCA (not seen on this injection). LAD, Left anterior descending; LMCA, left main coronary artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Diagram for novel surgical repair of a giant LMCA aneurysm with occlusive thrombus. A, LMCA aneurysm was readily noticeable on the anterior surface of the heart just lateral to the main pulmonary artery. B, Main pulmonary artery was opened transversely over the aneurysmal portion of the LMCA, and the aneurysmal sac was dissected out. Unroofing and resection of giant LMCA aneurysm were performed with removal of thrombus. A continuous endothelial tract was identified from the left main ostium to the LAD. C, Ring of main pulmonary artery was excised and opened for use as patch material (∗). Reroofing of the endothelial tract from the LCA ostium to the LAD was performed using the autologous tissue and a running stitch. D, Completed repair of LMCA. The ligamentum arteriosum was divided to mobilize the main pulmonary artery segment for end-to-end repair. E, Repair is completed by end-to-end anastomosis of the transected main pulmonary artery. LAD, Left anterior descending; LCA, left coronary artery; LMCA, left main coronary artery; MPA, main pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "A novel surgical approach to left main coronary artery giant aneurysm thrombosis in a child with a history of Kawasaki disease  Jay D. Pruetz, MD, Masato."

Similar presentations

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Two-stage hybrid repair for a Kommerell diverticulum in a right-sided aortic arch associated with multivessel coronary disease and atrial septal defect 

Two-stage hybrid repair for a Kommerell diverticulum in a right-sided aortic arch associated with multivessel coronary disease and atrial septal defect 
Myocardial bridging over the left anterior descending: Myotomy, bypass, or both?  Chigozirim N. Ekeke, BS, Stephen Noble, MD, Ernest Mazzaferri, MD, Juan.

Myocardial bridging over the left anterior descending: Myotomy, bypass, or both?  Chigozirim N. Ekeke, BS, Stephen Noble, MD, Ernest Mazzaferri, MD, Juan.
Stenotic false lumen as inflow of coronary aneurysm and full-metal jacket  Suguru Ohira, MD, PhD, Hitoshi Yaku, MD, PhD, Shuichiro Takanashi, MD, PhD 

Stenotic false lumen as inflow of coronary aneurysm and full-metal jacket  Suguru Ohira, MD, PhD, Hitoshi Yaku, MD, PhD, Shuichiro Takanashi, MD, PhD 
Angiographic quantification of diffuse coronary artery disease: Reliability and prognostic value for bypass operations  Michelle M. Graham, MD, FRCPC,

Angiographic quantification of diffuse coronary artery disease: Reliability and prognostic value for bypass operations  Michelle M. Graham, MD, FRCPC,
Expanding indications for pediatric coronary artery bypass

Expanding indications for pediatric coronary artery bypass
Direct Reimplantation as an Alternative Approach for Treatment of Anomalous Aortic Origin of the Right Coronary Artery  Kenta Izumi, MD, Manuel Wilbring,

Direct Reimplantation as an Alternative Approach for Treatment of Anomalous Aortic Origin of the Right Coronary Artery  Kenta Izumi, MD, Manuel Wilbring,
The Aortic Translocation (Nikaidoh) Operation

The Aortic Translocation (Nikaidoh) Operation
The Arterial Switch Procedure: Closed Coronary Artery Transfer

The Arterial Switch Procedure: Closed Coronary Artery Transfer
Delayed surgery for traumatic rupture of aortic arch with dissection of the left anterior descending artery  John EV, MCh, DNB, Gopalakrishnan Mundayat,

Delayed surgery for traumatic rupture of aortic arch with dissection of the left anterior descending artery  John EV, MCh, DNB, Gopalakrishnan Mundayat,
Repair of anomalous aortic origin of coronary arteries with combined unroofing and unflooring technique  Hagi Dekel, MD, Edward J. Hickey, MD, Jack Wallen,

Repair of anomalous aortic origin of coronary arteries with combined unroofing and unflooring technique  Hagi Dekel, MD, Edward J. Hickey, MD, Jack Wallen,
Anomalous aortic origin of a coronary artery in the Ross operation: Attention to minor details averts major problems  Igor E. Konstantinov, MD, PhD, FRACS 

Anomalous aortic origin of a coronary artery in the Ross operation: Attention to minor details averts major problems  Igor E. Konstantinov, MD, PhD, FRACS 
CD133+ cells: How could they have an IMPACT?

CD133+ cells: How could they have an IMPACT?
Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow.

Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow.
Muhammad S. Khan, MD, Matthew R

Muhammad S. Khan, MD, Matthew R
Selective arterialization of a cardiac vein in a model of cardiac microangiopathy and macroangiopathy in sheep  Michaela Elisabeth Resetar, MD, Cris Ullmann,

Selective arterialization of a cardiac vein in a model of cardiac microangiopathy and macroangiopathy in sheep  Michaela Elisabeth Resetar, MD, Cris Ullmann,
Left main coronary artery atresia with tetralogy of Fallot: A novel association  Nikhil Prakash Patil, MS, MRCS, Smita Mishra, MD, DNB, Saket Agarwal,

Left main coronary artery atresia with tetralogy of Fallot: A novel association  Nikhil Prakash Patil, MS, MRCS, Smita Mishra, MD, DNB, Saket Agarwal,
Successful repair of coronary artery–pulmonary artery fistula with coronary artery disease and atrial septal defect in an adult  Živojin S. Jonjev, MD,

Successful repair of coronary artery–pulmonary artery fistula with coronary artery disease and atrial septal defect in an adult  Živojin S. Jonjev, MD,
Progressive improvement of myocardial perfusion after off-pump revascularization with bilateral internal thoracic arteries: Comparison of early versus.

Progressive improvement of myocardial perfusion after off-pump revascularization with bilateral internal thoracic arteries: Comparison of early versus.
Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus  Afksendiyos Kalangos, MD, PhD, DSc(Hon), Saziye Karaca, MD, Mustafa.

Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus  Afksendiyos Kalangos, MD, PhD, DSc(Hon), Saziye Karaca, MD, Mustafa.

Similar presentations

Ads by Google