Surgical Repair for Left Coronary Artery-right Atrium Fistula With Giant Coronary Aneurysm: Case Report

Surgical Repair ◽

Early Stage ◽

Artery Aneurysm ◽

Longitudinal Axis ◽

Coronary Aneurysm ◽

Coronary Artery Fistula ◽

Abstract Background: Coronary artery fistula is a rare coronary anomaly which is defined as a communication between coronary artery and other heart chambers or vascular structures. The coronary artery which supply the fistula with blood can dilated, as a consequence, coronary aneurysm developed. Case introduction: Coronary artery fistula is frequently asymptomatic in its early stage, here we report a 26-year-old woman with left coronary artery fistula and left coronary artery aneurysm who presented in our hospital with dyspnea, fatigue and palpitation. The orifice of fistula was closed by continuous suture via right atriotomy. The wall of the aneurysm and enlarged LCA were partially resected along its longitudinal axis so that we can reduce the diameter of LCA to approximately normal.Conclusion: This technique provides a safe method for surgical repair of the giant coronary artery aneurysm with CAF.

Surgical Repair of Coronary Artery Fistulas with a Giant Coronary Artery Aneurysm Dilated from Valsalva Sinus

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.40.58 ◽

2011 ◽

Vol 40 (2) ◽

pp. 58-61 ◽

Cited By ~ 1

Author(s):

Nanae Nishiki ◽

Akiyuki Takahashi ◽

Masahiro Dohi ◽

Taiji Watanabe ◽

Osamu Sakai ◽

...

Keyword(s):

Coronary Artery ◽

Surgical Repair ◽

Artery Aneurysm ◽

Coronary Artery Fistulas ◽

Successful Surgical Treatment of Giant Coronary Artery Aneurysm and Concomitant Coronary Artery Fistula to the Pulmonary Artery

The Heart Surgery Forum ◽

10.1532/hsf.2021 ◽

2018 ◽

Vol 21 (4) ◽

pp. E247-E249

Author(s):

Keito Suzuki ◽

Naoyuki Kimura ◽

Akira Sezai ◽

Satoshi Unosawa ◽

Makoto Taoka ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Artery Bypass ◽

Artery Aneurysm ◽

Coronary Artery Fistula ◽

Fistula Formation ◽

Bypass Grafting ◽

Postoperative Course ◽

Giant coronary artery aneurysm (GCAA) combined with coronary artery fistula to the pulmonary artery (PA) is rare. A 79-year-old man was accidentally discovered with GCAA. He was operated on by use of aneurysmorrhaphy, and closure of the fistulae was performed. Because ischemic changes appeared, coronary artery bypass grafting was done. The postoperative course was uneventful, and the patient was discharged on postoperative day 14. We report here a case of GCAA with a size of 66 × 52 mm in diameter associated with a fistula formation into the PA. It is one of the largest sizes of GCAA that has occurred after fistula formation.

Case Report: Isolate Congenital Coronary Artery Fistula With Giant Artery Aneurysm in a Neonate

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2021.633840 ◽

2021 ◽

Vol 8 ◽

Author(s):

Haoyong Yuan ◽

Zhongshi Wu ◽

Qin Wu ◽

Ting Lu ◽

Yilun Tang ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Angioplasty ◽

Surgical Repair ◽

Artery Aneurysm ◽

Coronary Artery Fistula ◽

Postoperative Recovery ◽

Aortic Sinus ◽

Giant Coronary Artery Aneurysm ◽

Congenital Coronary Artery Fistula ◽

The Right

A rare case of neonatal congenital coronary artery, right ventricle fistula with giant coronary artery aneurysm formation, was reported. Computed tomography angiography demonstrated the dilated and tortuous tunnel arising from the right aortic sinus and traversing the epicardial surface before opening into the anterolateral aspect of the RV. Successful surgical repair was performed with a patch closure of the fistula and coronary angioplasty. The postoperative recovery was uneventful. Our experience of this rare congenital heart disease demonstrated that early surgical repair of coronary artery fistula and coronary angioplasty in the neonate can be performed safely. Further study is needed to seek the basis on this.

Giant coronary artery aneurysm with a coronary artery fistula to the pulmonary artery

Journal of Cardiac Surgery ◽

10.1111/jocs.13545 ◽

2018 ◽

Vol 33 (3) ◽

pp. 131-132 ◽

Cited By ~ 10

Author(s):

Motoyuki Kumagai ◽

Kazuhiro Takatoku ◽

Akira Kawamoto ◽

Eiji Shinoda ◽

Junichiro Nishizawa

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Artery Aneurysm ◽

Coronary Artery Fistula ◽

Histopathology of Giant Coronary Artery Aneurysm Associated with Coronary Artery Fistula

International Heart Journal ◽

10.1536/ihj.17-103 ◽

2018 ◽

Vol 59 (2) ◽

pp. 431-434 ◽

Cited By ~ 2

Author(s):

Yuji Matsumoto ◽

Hiroaki Kawano ◽

Keisuke Iwasaki ◽

Shuji Arakawa ◽

Koji Maemura

Keyword(s):

Coronary Artery ◽

Artery Aneurysm ◽

Coronary Artery Fistula ◽

Surgical Repair of Giant Coronary Artery Aneurysm Associated with Coronary-Pulmonary Artery Fistulae in a 73-Year-Old Woman

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.36.325 ◽

2007 ◽

Vol 36 (6) ◽

pp. 325-328

Author(s):

Koki Nakamura ◽

Yosuke Saito ◽

Tomohiro Asai ◽

Mikiko Murakami ◽

Yuji Suda ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Surgical Repair ◽

Artery Aneurysm ◽

Extensive coil embolization of a giant coronary artery aneurysm in an octogenarian: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa074 ◽

2020 ◽

Vol 4 (3) ◽

pp. 1-5

Author(s):

Talha Ahmed ◽

Diljon Chahal ◽

Melsjan Shkullaku ◽

Anuj Gupta

Keyword(s):

Coronary Artery ◽

Coil Embolization ◽

Artery Aneurysm ◽

Coronary Aneurysm ◽

Clear Cut ◽

Asymptomatic Patients ◽

Abdominal Aortic ◽

Adjacent Structures ◽

Abstract Background Coronary artery aneurysms (CAA) are often diagnosed incidentally on coronary angiography or imaging modalities done for other reasons. ‘Giant’ CAA by definition exceeds 20 mm in diameter or four times the diameter of normal coronary artery. The management of patients with CAAs is challenging due to poorly understood mechanism, variable presentation, and lack of clear-cut societal recommendations. Though conservative management is preferred in asymptomatic patients, massive size or interval growth may make intervention necessary. Case summary We describe a case of successful coil embolization of a giant coronary aneurysm in an elderly 84-year-old male. Patient, who presented for a follow-up computed tomography angiography to evaluate a previously repaired abdominal aortic aneurysm 2 years back, was found to have interval growth of right coronary artery aneurysm from 4 cm in diameter to 7 × 8 cm in its greatest dimensions. The rationale for treatment was to prevent sudden death from continued growth and eventual rupture of aneurysm in addition to potential risk of thromboembolism and compression of adjacent structures. Discussion This case demonstrates the safe and successful use of extensive coil embolization technique to treat a ‘giant’ CAA in an elderly patient when surgical risks were prohibitive.