Repair of a left main coronary artery aneurysm using the circumflex femoral artery as a Y-interposition graft

Left main coronary artery aneurysms are rare, and treatment options are poorly defined. Here we report the surgical management of a female patient who presented with an acute coronary syndrome resulting from dissection of an aneurysmal left main. She was successfully managed with an interposition graft fashioned from the lateral femoral circumflex artery.