A Giant Right Coronary Artery of Diffuse Ectasia Induced by a Right Ventricular Fistula

Authors

  • Renyuan Li Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Yiming Ni Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Peng Teng Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Weidong Li Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou, China

DOI:

https://doi.org/10.1532/hsf.1349

Abstract

Coronary artery fistula (CAF) is a rare entity. Sometimes it may associate with mild diffuse or segmental coronary ectasia. CAF with giant coronary artery is exceptionally rare. We present a unique case of a 49-year-old female patient with a giant right coronary artery of diffuse ectasia coexisting with a fistula draining into the right ventricle. To our best knowledge, CAF with diffuse coronary ectasia of such giant size has never been reported. The patient was treated successfully by resection of the dilated right coronary artery, fistula closure, and coronary artery bypass grafting.

References

Dodge-Khatami A, Mavroudis C, Backer CL. 2000. Congenital heart surgery nomenclature and database project: anomalies of the coronary arteries. Ann Thorac Surg 69:S270-97.

Jiang B, Yang Y, Li F, et al. 2014. Giant aneurysm of right coronary artery fistula into left ventricle coexisting with noncompaction of left ventricular myocardium. Ann Thorac Surg 98:e85-6.

Mangukia CV. 2012. Coronary artery fistula. Ann Thorac Surg 93:2084-92.

Shirai K, Ogawa M, Kawaguchi H, Kawano T, Nakashima Y, Arakawa K. 1994. Acute myocardial-infarction due to thrombus formation in congenital coronary-artery fistula. Eur Heart J 15:577-9.

Published

2015-12-18

How to Cite

Li, R., Ni, Y., Teng, P., & Li, W. (2015). A Giant Right Coronary Artery of Diffuse Ectasia Induced by a Right Ventricular Fistula. The Heart Surgery Forum, 18(6), E253-E254. https://doi.org/10.1532/hsf.1349

Issue

Section

Articles