Yong Wang, MD, Xiaomei Zheng, MD, Kexiang Liu, PhD

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Presentation transcript:

Surgical Repair of Bland–White–Garland Syndrome With Giant Right Coronary Artery Aneurysm Yong Wang, MD, Xiaomei Zheng, MD, Kexiang Liu, PhD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages e375-e377 (November 2017) DOI: 10.1016/j.athoracsur.2017.06.046 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative photo: The size and extent of the right coronary artery aneurysm. The Annals of Thoracic Surgery 2017 104, e375-e377DOI: (10.1016/j.athoracsur.2017.06.046) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Technical steps: (A) The RCA aneurysm and ALCAPA. (B) The RCA aneurysm is excised and the RCA is reconstructed. (C) The intrapulmonary tunnel was created to connect LMCA and ascending aorta. (D) The PA is repaired with aneurysmal flap. (ALCAPA = anomalous left coronary artery from pulmonary artery; IVC = inferior vena cava; LAD = left anterior descending; LMCA = left main coronary artery; PA = pulmonary artery; RCA = right coronary artery; SVC = superior vena cava.) The Annals of Thoracic Surgery 2017 104, e375-e377DOI: (10.1016/j.athoracsur.2017.06.046) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photo: The newly reconstructed left coronary artery (lower blue arrow) and right coronary artery (upper blue arrow). The Annals of Thoracic Surgery 2017 104, e375-e377DOI: (10.1016/j.athoracsur.2017.06.046) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions