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

2021 ◽  
Vol 8 ◽  
Author(s):  
Haoyong Yuan ◽  
Zhongshi Wu ◽  
Qin Wu ◽  
Ting Lu ◽  
Yilun Tang ◽  
...  

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.

2021 ◽  
Author(s):  
Yan Jin ◽  
Mengfei Zhang ◽  
Juan He

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.


2011 ◽  
Vol 40 (2) ◽  
pp. 58-61 ◽  
Author(s):  
Nanae Nishiki ◽  
Akiyuki Takahashi ◽  
Masahiro Dohi ◽  
Taiji Watanabe ◽  
Osamu Sakai ◽  
...  

2019 ◽  
Vol 29 (1) ◽  
pp. 157-158
Author(s):  
Akira Furutachi ◽  
Kojiro Furukawa ◽  
Aiko Komatsu ◽  
Eijiro Nogami

Abstract Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is a very rare congenital heart disease, and several reports have described long-term events after surgery. We report the case of a 46-year-old woman who underwent reimplantation of the RCA for anomalous origin of the right coronary artery from the pulmonary artery 16 years ago. An RCA aneurysm gradually developed and dilated over time, and we resected the aneurysm and also grafted the right gastroepiploic artery graft to the distal RCA. Careful long-term follow-up is required to avoid overlooking such a rare but life-threatening complication after surgical repair of anomalous origin of the right coronary artery from the pulmonary artery.


2018 ◽  
Vol 21 (4) ◽  
pp. E247-E249
Author(s):  
Keito Suzuki ◽  
Naoyuki Kimura ◽  
Akira Sezai ◽  
Satoshi Unosawa ◽  
Makoto Taoka ◽  
...  

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.


2018 ◽  
Vol 33 (3) ◽  
pp. 131-132 ◽  
Author(s):  
Motoyuki Kumagai ◽  
Kazuhiro Takatoku ◽  
Akira Kawamoto ◽  
Eiji Shinoda ◽  
Junichiro Nishizawa

2018 ◽  
Vol 59 (2) ◽  
pp. 431-434 ◽  
Author(s):  
Yuji Matsumoto ◽  
Hiroaki Kawano ◽  
Keisuke Iwasaki ◽  
Shuji Arakawa ◽  
Koji Maemura

1993 ◽  
Vol 56 (2) ◽  
pp. 372-374 ◽  
Author(s):  
George Abou Eid ◽  
Loic Lang-Lazdunski ◽  
Ulrik Hvass ◽  
Yves Pansard ◽  
Nadia Belmatoug ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
James Barr ◽  
Metesh Nalin Acharya ◽  
Antonios Kourliouros ◽  
Shahzad Gull Raja

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.


Author(s):  
Zhang Yue ◽  
Manwei Liu ◽  
Kailun Zhang ◽  
Yali Yang ◽  
Fei Li

Coronary artery fistula (CAF) are abnormal connections between a coronary artery and cardiac chambers or with other vessels. CAF occurs in about 0.1% of adult patients and most commonly affects the right heart. We present a rare case of left circumflex coronary artery aneurysm with fistula to the left ventricle.


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