{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:25Z","timestamp":1756368625327,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T00:00:00Z","timestamp":1587600000000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,4,5]]},"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>Coronary aneurysm located just above the left main coronary artery (LMT) is rare and difficult to treat. How the aneurysm is accessed is very important as it determines the result of the surgery. A 70-year-old man with a large coronary aneurysm (40\u2009mm in diameter) in the LMT underwent surgery to prevent its rupture; however, there was severe adhesion. Initially, dissection of the ascending aorta or the pulmonary artery seemed necessary to access the aneurysm; however, the process was possible with limited dissection between the ascending aorta and the pulmonary artery, and we succeeded in firmly closing the LMT site of entry.<\/jats:p>","DOI":"10.1136\/bcr-2019-234203","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T04:15:14Z","timestamp":1587701714000},"page":"e234203","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Successful sparing approach between the ascending aorta and the main pulmonary artery to the giant coronary aneurysm of the left main coronary artery"],"prefix":"10.1136","volume":"13","author":[{"given":"Ken","family":"Nakamura","sequence":"first","affiliation":[{"name":"Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kouan","family":"Orii","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Abe","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Haida","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Kumagaya, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,4,23]]},"reference":[{"key":"2025082800454988000_13.4.e234203.1","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1067\/mtc.2002.121290","article-title":"Reverse saphenous interposition vein graft repair of a giant atherosclerotic aneurysm of the left anterior descending coronary artery","volume":"123","author":"Luckraz","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082800454988000_13.4.e234203.2","doi-asserted-by":"crossref","first-page":"e223","DOI":"10.1016\/j.athoracsur.2018.04.038","article-title":"Giant circumflex artery aneurysm with a coronary sinus fistula","volume":"106","author":"Libertini","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2025082800454988000_13.4.e234203.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01762-8"},{"key":"2025082800454988000_13.4.e234203.4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(91)90881-K"},{"key":"2025082800454988000_13.4.e234203.5","doi-asserted-by":"crossref","first-page":"494","DOI":"10.2459\/JCM.0b013e3283293349","article-title":"Left main coronary artery aneurysm in young patient with acute myocardial infarction","volume":"10","author":"Alioglu","year":"2009","journal-title":"J Cardiovasc Med"},{"key":"2025082800454988000_13.4.e234203.6","doi-asserted-by":"crossref","DOI":"10.1186\/s13019-015-0324-8","article-title":"Giant aneurysm of the left main coronary artery with fistulous communication to the right atrium","volume":"10","author":"Zhu","year":"2015","journal-title":"J Cardiothorac Surg"},{"key":"2025082800454988000_13.4.e234203.7","doi-asserted-by":"crossref","first-page":"603","DOI":"10.14503\/THIJ-13-3896","article-title":"Giant coronary artery aneurysms: review and update","volume":"41","author":"Crawley","year":"2014","journal-title":"Tex Heart Inst J"},{"key":"2025082800454988000_13.4.e234203.8","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/jocs.13967","article-title":"Sinus node artery aneurysm arising from the left main coronary artery with a fistula into the right atrium","volume":"34","author":"Huang","year":"2019","journal-title":"J Card Surg"},{"key":"2025082800454988000_13.4.e234203.9","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1111\/jocs.13960","article-title":"Left main coronary artery aneurysm with a fistula draining into the right atrium","volume":"33","author":"Jacobsen","year":"2018","journal-title":"J Card Surg"},{"key":"2025082800454988000_13.4.e234203.10","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.carrev.2017.03.019","article-title":"Giant coronary aneurysm management with Viabahn covered stent","volume":"18","author":"Kim","year":"2017","journal-title":"Cardiovasc Revasc Med"},{"key":"2025082800454988000_13.4.e234203.11","doi-asserted-by":"crossref","first-page":"117954761982868","DOI":"10.1177\/1179547619828689","article-title":"Exclusion of a giant coronary artery aneurysm with covered stents using a long drug-eluting stent scaffold","volume":"12","author":"Cotter","year":"2019","journal-title":"Clin Med Insights Case Rep"},{"key":"2025082800454988000_13.4.e234203.12","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ijcard.2015.04.082","article-title":"Giant left coronary artery aneurysms: review of the literature and report of a rare case diagnosed by transthoracic echocardiography","volume":"189","author":"Wang","year":"2015","journal-title":"Int J Cardiol"},{"key":"2025082800454988000_13.4.e234203.13","doi-asserted-by":"crossref","first-page":"59","DOI":"10.11152\/mu.2013.2066.151.ah1lcp2","article-title":"Large coronary pseudoaneurysm with pulmonary artery fistula, six months after left main trunk stenting with paclitaxel-eluting stent","volume":"15","author":"Hagau","year":"2013","journal-title":"Med Ultrason"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-234203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:45:58Z","timestamp":1756367158000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-234203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4,23]]},"published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1136\/bcr-2019-234203"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-234203","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}