The management of concomitant renal oncocytoma and giant coronary and bilateral common iliac artery aneurysms

Clarke, Jonathan, Choong, Andrew, Raja, Shahzad, Amrani, Mohamed, Hellawell, Giles and Hussain, Tahir (2014) The management of concomitant renal oncocytoma and giant coronary and bilateral common iliac artery aneurysms. Annals of Vascular Surgery, 28 4: 1033.e11-1033.e15. doi:10.1016/j.avsg.2013.07.027

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Author Clarke, Jonathan
Choong, Andrew
Raja, Shahzad
Amrani, Mohamed
Hellawell, Giles
Hussain, Tahir
Title The management of concomitant renal oncocytoma and giant coronary and bilateral common iliac artery aneurysms
Journal name Annals of Vascular Surgery   Check publisher's open access policy
ISSN 1615-5947
0890-5096
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.avsg.2013.07.027
Volume 28
Issue 4
Start page 1033.e11
End page 1033.e15
Total pages 5
Place of publication Philadelphia, United States
Publisher Elsevier
Language eng
Subject 2705 Cardiology and Cardiovascular Medicine
2746 Surgery
Abstract We present the rare case of a 66-year-old Caucasian male patient presenting with intermittent left-side abdominal pain. He underwent a kidneys, ureters, and bladder computed tomography scan on which an incidental 45-mm giant aneurysm of the left anterior descending coronary artery was discovered along with 55-mm right-sided and 62-mm left-sided common iliac artery aneurysms and a 100-mm benign renal oncocytoma. He underwent on-pump coronary artery bypass grafting of the left anterior descending, left circumflex and right coronary arteries using internal mammary artery and saphenous vein grafts. He subsequently underwent simultaneous open left nephrectomy and bilateral common iliac aneurysm repair using a bifurcated tube graft. He made a full recovery postoperatively. Giant coronary artery aneurysms are rare. In the pediatric population, they are predominantly secondary to Kawasaki disease. In adults, atheromatous disease is the leading cause. The coexistence of giant coronary artery aneurysms with extracoronary artery aneurysms is extremely unusual. We propose that the identification of giant coronary artery aneurysms necessitates further imaging investigations to identify the presence of extracoronary aneurysms. To our knowledge, this is the first description of such a case in the literature.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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