scholarly journals Left circumflex artery pericardia fistula combined with huge pseudoaneurysm: a rare case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhiyan Shen ◽  
Kun Xia ◽  
Xinfeng Liu ◽  
Rongpin Wang

Abstract Background Coronary artery fistula refers to an abnormal communication between a coronary artery and great vessel, a cardiac chamber or other structure. The left circumflex artery (LCX) pericardia fistula combined with huge pseudoaneurysm is extremely rare. Case presentation A 39-year-old young female was admitted into our hospital because of palpitation and shortness of breath. Coronary computed tomography angiography (CCTA) showed a huge pseudoaneurysm located in pericardium. Coronary angiography revealed the LCX pericardia fistula. Then surgical treatment was performed. She was in good condition without complications after surgery. Conclusions Coronary artery fistula combined with pseudoaneurysm can be caused by congenital factors. Early surgical treatment can relieve the patient's symptoms and prevent the occurrence of adverse cardiovascular events.

Author(s):  
Asli Tanrivermis Sayit ◽  
Cetin Celenk

<P>Background: Hypoplastic coronary artery disease is a rare congenital coronary artery anomaly. It is often detected incidentally, and its true incidence in the general population is not known. </P><P> Discussion: Symptoms of HCAD are syncope, palpitations, dyspnea, and chest pain. Also, arrhythmia and myocardial infarction can be seen; these can cause sudden death, especially in athletes and young people. Diagnosis is often made at autopsy. Conclusion: Here, we present the case of a 39-year-old male with isolated hypoplasia of the left circumflex artery detected by coronary Computed Tomography (CT) angiography who complained of palpitation.</P>


2018 ◽  
Vol 99 (3) ◽  
pp. 515-520
Author(s):  
M Dzh Sultanova

The study was performed to identify the features of coronary artery calcifications with the use of coronary computed tomography angiography in patients suffering from rheumatoid arthritis. In the study, calcifications were found in one vessel in 5 (8.3%) patients, in two vessels - in 24 (40%) subjects, in three vessels - in 28 (46.7%), and in four vessels - in 3 (5%) patients. 100% of patients were diagnosed with calcifications in the left descending artery, 90.2% - in left circumflex artery, 56.9% - in right coronary artery, 9.8% - in the root of left coronary artery, 92.2% of patients were diagnosed with calcifications of the aortic arch. The highest calcium score was registered in left circumflex artery (343.5±10.0 HU), and the lowest one - in right coronary artery (262.1±17.7 HU). The study results demonstrated correlation between the stage of rheumatoid arthritis and coronary calcification. In 77.8% of patients with stage I of the disease and in all patients with stage II, III and IV, calcifications of various size and localization were revealed in coronary arteries and aortic arch. Also, the relationship between duration of the disease and calcinosis extent was revealed. The obtained results indicate the importance of coronary computed tomography angiography for the diagnosis of coronary atherosclerosis in patients with rheumatoid arthritis due to high risk of cardiovascular complications in these patients.


2018 ◽  
Vol 33 (12) ◽  
pp. 864-866
Author(s):  
Xiangyu He ◽  
Weiqiang Ruan ◽  
Junyang Han ◽  
Ke Lin

2018 ◽  
Vol 130 (23-24) ◽  
pp. 738-739 ◽  
Author(s):  
Hui Gan ◽  
Yun Liu ◽  
Li Liu ◽  
Ying He ◽  
Song Zhang

2020 ◽  
Vol 22 (1) ◽  
pp. 20-20
Author(s):  
Marco Guglielmo ◽  
Alberico Del Torto ◽  
Giuseppe Muscogiuri ◽  
Giulia Mostardini ◽  
Gianluca Pontone

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