Introduction:
Coronary artery aneurysm is a rare entity; with an incidence among
patients undergoing coronary angiography that varies from 1.5-5% (1,
2). Although the exact definition of giant coronary artery aneurysm is
lacking, however it is usually referred to as a dilated segment
exceeding 4 times the diameter of the largest coronary artery or an
aneurysm exceeding 8 mm in diameter (3)
Treatment options are percutaneous coronary angioplasty or surgery.
Here, we present our operative approach in treating a giant aneurysm of
the right coronary artery with double ligation and distal bypass
grafting.