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Surgical repair of the aneurysm. (a) The aneurysmal sac has been opened (white arrow). (b) A patulous entry point (indicated by white suction tip) can be clearly seen. The exit point was identified and closed. (c) The entry point was dissected and sutured closed. (d) The radial artery was anastomosed to the posterior descending artery branch and to the proximal normal right coronary artery, above the oversown stump of the aneurysm.
