Non-trauma-induced Aneurysm of the Left Internal Thoracic Artery with Ischemic Heart Disease. A Case Report and Review of the Literature / 日本心臓血管外科学会雑誌

ABSTRACT

A 52-year-old man had a saccular non-trauma-induced aneurysm of the left internal thoracic artery (ITA) with ischemic heart disease. Right ITA-to-LAD anastomosis was performed for one-vessel disease under CPB. The left ITA aneurysmectomy was performed and reconstructed by end-to-end anastomosis. The resected specimen showed the features of atherosclerotic changes. This is the eighth reported case of this entity in the international and Japanese literature. The previous 7 cases are reviewed. The association with von Recklinghausen's disease and Kawasaki disease are discussed. Also summarized are the symptomatology, diagnosis, and management of this very rare condition.