{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:33Z","timestamp":1740179433317,"version":"3.37.3"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T00:00:00Z","timestamp":1602460800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Giant coronary artery aneurysms (CAAs) are rare and treatment strategies various, especially in the setting of a concomitant abdominal aortic aneurysm (AAA) which needs urgent repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>A 78-year-old Caucasian male was admitted for evaluation of a rapidly expanding AAA. In addition, computed tomography angiography revealed a 5 x 4 cm giant aneurysm of the right coronary artery. After interdisciplinary discussion, the patient underwent aorto-bi-iliac bypass grafting first. In a second step, CAA was successfully excluded and coronary artery bypass grafting of the right coronary artery was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Treatment strategy of CAA and timing of non-cardiac surgery is challenging. In order to minimize the overall risk of rupture interdisciplinary discussion is crucial. In our case, aorto-bi-iliac bypass grafting was safely performed, and the patient underwent successful CAA excision in a second step.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa232","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T03:24:30Z","timestamp":1602473070000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["Two ticking time bombs: giant coronary artery aneurysm and abdominal aortic aneurysm in the setting of urgent vascular surgery\u2014a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1882-9015","authenticated-orcid":false,"given":"Sara","family":"Schukraft","sequence":"first","affiliation":[{"name":"Department of Cardiology, University and Hospital Fribourg, Chemin des Pensionnats 2, 1708 Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7881-6822","authenticated-orcid":false,"given":"Thierry","family":"Carrel","sequence":"additional","affiliation":[{"name":"Heart and Vascular Surgery, University Hospital of Bern, Freiburgstrasse 18, 3010 Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Togni","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University and Hospital Fribourg, Chemin des Pensionnats 2, 1708 Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7814-9444","authenticated-orcid":false,"given":"Adrian","family":"Attinger-Toller","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University and Hospital Fribourg, Chemin des Pensionnats 2, 1708 Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,12]]},"reference":[{"key":"2020121809091365300_ytaa232-B1","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/CRD.0b013e3181852659","article-title":"Coronary artery aneurysms: a review of the natural history, pathophysiology, and management","volume":"16","author":"Cohen","year":"2008","journal-title":"Cardiol Rev"},{"key":"2020121809091365300_ytaa232-B2","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1161\/01.CIR.67.1.134","article-title":"Aneurysmal coronary artery disease","volume":"67","author":"Swaye","year":"1983","journal-title":"Circulation"},{"key":"2020121809091365300_ytaa232-B3","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1093\/eurheartj\/ehi725","article-title":"Coronary artery ectasias: imaging, functional assessment and clinical implications","volume":"27","author":"Manginas","year":"2006","journal-title":"Eur Heart J"},{"key":"2020121809091365300_ytaa232-B4","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/0002-8703(48)90337-8","article-title":"Aneurysm of the coronary arteries","volume":"36","author":"Scott","year":"1948","journal-title":"Am Heart J"},{"key":"2020121809091365300_ytaa232-B5","doi-asserted-by":"crossref","first-page":"24","DOI":"10.3389\/fcvm.2017.00024","article-title":"Coronary artery aneurysms: a review of the epidemiology, pathophysiology, diagnosis, and treatment","volume":"4","author":"Abou Sherif","year":"2017","journal-title":". 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