Stenotic false lumen as inflow of coronary aneurysm and full-metal jacket Suguru Ohira, MD, PhD, Hitoshi Yaku, MD, PhD, Shuichiro Takanashi, MD, PhD

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Stenotic false lumen as inflow of coronary aneurysm and full-metal jacket Suguru Ohira, MD, PhD, Hitoshi Yaku, MD, PhD, Shuichiro Takanashi, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 1, Pages 225-226 (January 2018) DOI: 10.1016/j.jtcvs.2017.06.006 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative coronary angiography. A, A coronary aneurysm (arrow) in the LAD with marked stenosis of the false lumen (arrowhead). B, Multiple stents (arrowheads) were placed from an aneurysm (arrow) to the distal LAD beyond the diagonal branch. LAD, Left anterior descending artery. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 225-226DOI: (10.1016/j.jtcvs.2017.06.006) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Pictures of (A) the endarterectomized core of the LAD and aneurysm (arrow) with stents (arrowheads). Elastic Van Gieson stain revealed (B) an occluded true lumen and (C) true coronary aneurysm. Arrows show the false lumen. LAD, Left anterior descending artery. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 225-226DOI: (10.1016/j.jtcvs.2017.06.006) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Postoperative angiography showed excellent flow of the left internal thoracic artery with patent septal and diagonal branches. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 225-226DOI: (10.1016/j.jtcvs.2017.06.006) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

A stenotic false lumen as an inflow of the coronary aneurysm with a “full-metal jacket.” The Journal of Thoracic and Cardiovascular Surgery 2018 155, 225-226DOI: (10.1016/j.jtcvs.2017.06.006) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Preoperative angiography showed a coronary aneurysm in the LAD with stenosis of the false lumen. Video available at: http://www.jtcvsonline.org/article/S0022-5223(17)31173-X/addons. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 225-226DOI: (10.1016/j.jtcvs.2017.06.006) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions