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European Heart Journal 1989 10(1):91-96;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

Diagnosis of coronary aneurysms in siblings: Treatment with a new surgical procedure

J. EMMERICH*, D. THOMAS*, G. DROBONKSI*, M. CANNY*, I. GANDJBAKHCH{dagger} and Y. GROSGOGEAT*

*Service de Cardiologie (Pr. Grosgogeat) 75013 §PARIS France
{dagger}Service de Chirurgie Cardiaque (Pr. Cabrol), Groupe Hospitalier Pitiè-Salpètrière, 47–83 boulevard de l'H*opital 75013 §PARIS France

Received 14 April 1988; revised 5 July 1988; .

Abstract

We report the cases of two brothers who simultaneously developed myocardial infarction, and in whom we found coronary artery aneurysms at echocardiography. In one case a new surgical procedure was performed. The aneurysm was bypassed by an aorto-coronary vein graft and the coronary ostium of the related coronary artery was closed. Thus, perfusion of the dependent vessels of the aneurysm was maintained, and the risk of distal embolism was prevented. The aetiologies of coronary artery aneurysms are discussed. In our patients the aneurysms were probably congenital, but we cannot exclude the possibility of previously undiagnosed Kawasaki's disease.

Key Words: Coronary aneurysm • myocardial infarction • Kawasaki;s disease


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