scholarly journals Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Takafumi Terada ◽  
Yoshimori Araki ◽  
Akihiro Kobayashi ◽  
Osamu Kawaguchi
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Left Ventricular

Coronary artery aneurysms combined with left ventricular fistulas are rare; coronary revascularization strategy after coronary artery aneurysm resection is complex in such cases. We report the surgical repair of a giant right coronary artery aneurysm with a fistula in the left ventricle in a 79-year-old woman diagnosed with an aneurysm 50 mm in diameter. Surgical repair included resection of the coronary artery aneurysm, coronary artery bypass grafting to the posterior descending artery, and isolation of reconstructed right coronary circulation from the fistula. The postoperative course was uneventful; postoperative coronary angiography revealed a patent bypass graft unconnected to the left ventricle.

scholarly journals Giant right coronary artery aneurysm presenting as an STEMI

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Jennifer Crabbe ◽  
Azar Hussain ◽  
Ajith Vijayan ◽  
Joseph John ◽  
Mahmoud Loubani
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Artery Bypass Graft ◽  
Coronary Artery Aneurysms ◽  
Cardiac Centre

Abstract Giant coronary artery aneurysms are an infrequent finding. They are typically discovered incidentally, rarely presenting with any symptoms. We present the case of a 72-year-old gentleman who presented with an ST elevated myocardial infarction. On investigation, the gentleman was found to have a giant right coronary artery aneurysm which was partially filled with a fresh thrombus. The thrombus occluded the RCA, triggering the myocardial infarction which leads to this gentleman’s presentation to a tertiary cardiac centre. The gentleman underwent a successful resection of the aneurysm and coronary artery bypass graft over the RCA lesion with a saphenous vein conduit. This gentleman has since been discharged from hospital after an uncomplicated postoperative course.

scholarly journals Coronary Artery–Left Ventricular Fistula with Giant Right Coronary Aneurysm: A Case Report and Literature Review

2021 ◽  
Vol 24 (3) ◽  
pp. E433-E436
Author(s):  
Wenjie Diao ◽  
Chao Shi ◽  
Ge Liu ◽  
Xuegang Liu
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Management Strategies ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Treatment Method ◽  
Left Ventricular ◽  
Inner Diameter

Right coronary artery–left ventricular (RCA–LV) fistula with associated giant right coronary artery aneurysm (CAA) is an extremely rare cardiac condition. This case study presents a patient with a large left ventricle (LV) and a giant right CAA with a maximal inner diameter of approximately 56.6 mm and an inner diameter of approximately 22 mm at its communication with the left ventricle. The patient underwent surgical management, involving suturing of the proximal end of the CAA and coronary artery bypass grafting (CABG). RCA–LV fistula with a giant right CAA may involve serious complications, such as thrombosis, rupture, and heart failure. Therefore, it is necessary to establish effective management strategies for this condition. Although this case is not unique, it serves as an illustrative example of the implementation of a classic surgical treatment method.

Giant Right Coronary Artery Aneurysm With a Fistula to the Left Ventricle

2012 ◽  
Vol 94 (6) ◽  
pp. e149-e150 ◽  
Author(s):  
Jubing Zheng ◽  
Ran Dong ◽  
Taoshuai Liu ◽  
Yang Li ◽  
Qiwen Zhou
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm

scholarly journals Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

2020 ◽  
Author(s):  
He Sun ◽  
Mingkui Zhang ◽  
Qingyu Wu ◽  
Hui Xue ◽  
Yongqiang Jin
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Causative Factor ◽  
Review Of The Literature ◽  
Radial Artery Graft ◽  
Artery Graft

Abstract Coronary artery aneurysm (CAA) has been increasingly reported in recent years. The symptoms are related to myocardial ischemia, such as angina pectoris, myocardial infarction, sudden death and congestive heart failure. This report describes a case of a giant CAA with calcification and stenosis involving two coronary arteries, and the patient underwent a complete arterialized coronary artery bypass graft. After 3 months of follow-up, it was found that the radial artery graft was occluded. In this report, all cases related to CAA with calcification and stenosis are summarized. According to the data, the following conclusions can be drawn: CAA seem to be more common in men; Kawasaki disease is likely to be a causative factor in some patients with asymptomatic CAA involving calcification and stenosis; CABG is a feasible treatment option for CAA with calcification and stenosis.

scholarly journals Right Coronary Artery to Left Ventricular Fistula with Giant Right Coronary Artery Aneurysm

2016 ◽  
Vol 90 (6) ◽  
pp. 518-523
Author(s):  
Eun Young Kim ◽  
Jong Sung Park ◽  
Dong Sub Jeon ◽  
Sang Seok Jeong ◽  
Kwon-Jae Park ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Left Ventricular

scholarly journals Surgical treatment of coronary artery aneurysm with calcification and stenosis：a Case Report and Review of the Literature

2020 ◽  
Author(s):  
He Sun ◽  
Mingkui Zhang ◽  
Qingyu Wu ◽  
Hui Xue ◽  
Yongqiang Jin
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Causative Factor ◽  
Artery Bypass Graft ◽  
Review Of The Literature

Coronary artery aneurysm (CAA) has been increasingly reported in recent years. The symptoms are related to myocardial ischemia, such as angina pectoris, myocardial infarction, sudden death and congestive heart failure. This report describes a case of a giant CAA with calcification and stenosis involving two coronary arteries, and the patient underwent a complete arterialized coronary artery bypass graft successfully. In this report, all cases related to CAA with calcification and stenosis are summarized. According to the data, the following conclusions can be drawn: CAA seem to be more common in men; Kawasaki disease is likely to be a causative factor in some patients with asymptomatic CAA involving calcification and stenosis; CABG is a feasible treatment option for CAA with calcification and stenosis.

scholarly journals Surgical Repair of an Asymptomatic Giant Right Coronary Artery Aneurysm

2013 ◽  
Vol 02 (01) ◽  
pp. 006-008
Author(s):  
Nadeem Anjum ◽  
Aonghus O'Donnell ◽  
Kishore Doddakula ◽  
Saleem Jahangeer
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Artery Aneurysm

scholarly journals Technical Considerations of Giant Right Coronary Artery Aneurysm Exclusion

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
James Barr ◽  
Metesh Nalin Acharya ◽  
Antonios Kourliouros ◽  
Shahzad Gull Raja
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Saphenous Vein Graft ◽  
Artery Aneurysm ◽  
Coronary Artery Aneurysms ◽  
Coronary Aneurysms ◽  
Right Ventricular Strain ◽  
The Right

Giant coronary artery aneurysms are rare clinical entities. We report the case of a 49-year-old man who presented with dyspnoea and exertional chest pain. Investigations confirmed an aneurysmal right coronary artery measuring 4 cm with a fistulous communication to the right atrium. Following right atriotomy, the fistula was oversewn and the aneurysmal right coronary artery ligated at its origin and at several points along its course. A saphenous vein graft was anastomosed to the posterior descending artery. Persistent ventricular fibrillation occurred upon chest closure, attributed to ischaemia following ligation of the aneurysmal coronary artery. Emergent resternotomy and internal defibrillation were successfully performed. The sternum was stented open to reduce right ventricular strain and closed the following day. The patient made an unremarkable recovery. We here address the technical challenges associated with surgical repair of right coronary aneurysms and the physiology and management of potential complications.

scholarly journals Right Coronary Artery Fistula to Left Ventricle Complicated with Huge Coronary Artery Aneurysm

2011 ◽  
Vol 50 (3) ◽  
pp. 239-242 ◽  
Author(s):  
Jia Wei ◽  
Ying Shu ◽  
Xiang Wei ◽  
Jiarong Tang ◽  
Jiangtao Yan ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula
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