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.

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 Expanding giant right coronary artery aneurysm: An acute need for new management strategies

Heart Views ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 13 ◽  
Author(s):  
Vishal Sehgal ◽  
Ankur Sethi ◽  
Anurag Bajaj ◽  
Sukhminder JitSingh Bajwa ◽  
SamirB Pancholy
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Management Strategies ◽  
Artery Aneurysm

scholarly journals A case of Right coronary artery-left ventricular fistul with a giant right coronary aneurysm

2020 ◽  
Author(s):  
Wen jie Diao ◽  
Chao Shi ◽  
Ge Liu ◽  
Hai hui Li ◽  
Jin jin Meng ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Aneurysm ◽  
Left Ventricular

scholarly journals Giant right coronary artery aneurysm. Case Report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Benjamín Iván Hernández-Mejía ◽  
Edison Ricardo Espinoza-Saquicela
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Revascularization ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Moderate Hypothermia ◽  
Coronary Catheterization ◽  
Coronary Syndrome ◽  
Coronary Aneurysms ◽  
The Right

Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.

scholarly journals Unexpected normal left ventricular systolic function after total chronic occlusion of left main coronary artery and stenosis of right coronary artery: a case report and review of the literature

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Younes Moutakiallah ◽  
Reda Mounir ◽  
Amir Aden Ali ◽  
Fouad Nya ◽  
Aniss Seghrouchni ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Left Main Coronary Artery ◽  
Systolic Function ◽  
Artery Bypass ◽  
Left Main ◽  
Total Occlusion ◽  
Chronic Occlusion ◽  
The Impact

Abstract Introduction Total occlusion of the left main coronary artery is a very rare finding in coronary angiography because of its highly lethal nature. Right coronary artery dominance and extensive collateral circulation are the principal determinant factors of survival after total occlusion of the left main coronary artery. The impact on the left ventricle is often significant with a profound alteration of its systolic function. Case presentation We describe a 52-year-old North African man, a tobacco smoker, who presented symptoms of unstable angina related to a total chronic occlusion of his left main coronary artery with a right coronary artery stenosis. Unexpectedly, the impact on his left ventricle was absent with normal dimensions and systolic function. He underwent a successful on-pump coronary artery bypass grafting with uneventful postoperative course and good recovery. Conclusions Total occlusion of the left main coronary artery is a rare condition, the fact that the left ventricle retains a normal size and systolic function makes it exceptional, which must be kept in mind to avoid dangerous examinations and delayed treatment. Coronary artery bypass surgery should be considered the main treatment of total chronic occlusion of the left main coronary artery.

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 Multimodal imaging of right coronary artery to left ventricle fistula complicated by large coronary aneurysm

2019 ◽  
Vol 26 (1) ◽  
pp. 93-94
Author(s):  
Takao Konishi ◽  
Tadashi Yamamoto ◽  
Masato Hayakawa ◽  
Shizuko Iwasa ◽  
Hiroyuki Tsukui ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Multimodal Imaging ◽  
Coronary Aneurysm

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 An 81-year-old Case of Left Ventricular Aneurysmectomy with Right Coronary Artery Bypass Grafting.

1999 ◽  
Vol 28 (3) ◽  
pp. 197-200
Author(s):  
Tetsuya Yamamoto ◽  
Kanji Kawachi ◽  
Yoshihiro Hamada ◽  
Tatsuhiro Nakata ◽  
Yasuaki Kashu ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Bypass Grafting ◽  
Artery Bypass Grafting
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