Surgical Repair of Congenital Coronary Artery Fistula With Giant Aneurysm

Authors

  • Xiaoyong Li Department of Cardiac Surgery, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Wuhan, Hubei, China
  • Laichun Song Department of Cardiac Surgery, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Wuhan, Hubei, China
  • Huiqiong Guo Department of Cardiac Surgery, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Wuhan, Hubei, China
  • Jing Jin Department of Cardiac Surgery, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Wuhan, Hubei, China
  • Ming Xu Department of Cardiac Surgery, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Wuhan, Hubei, China

DOI:

https://doi.org/10.1532/hsf.2813

Abstract

A 67-year-old man with a 3-year history of dyspnea on exertion arrived to our institution with discontinuous palpitations and short breath. He was diagnosed with congenital coronary artery fistula (CAF). Angiography revealed 3 giant aneurysmal formations and coronary artery calcification. We report a case of successful repair of CAF with a giant coronary aneurysm by closing the orifice and resecting the aneurysm and reconstructing the left coronary artery. The surgical procedure included closure from within a vessel dilated by aneurysm and excision of the aneurysm. We were able to completely obliterate the fistula and preserve the normal blood flow through the coronary arteries post operation. The postoperative course was eventful, but the patient was
discharged home. The patient was doing well at his 28-month follow-up visit.

References

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Published

2020-03-17

How to Cite

Li, X., Song, L., Guo, H., Jin, J., & Xu, M. (2020). Surgical Repair of Congenital Coronary Artery Fistula With Giant Aneurysm. The Heart Surgery Forum, 23(2), E151-E153. https://doi.org/10.1532/hsf.2813

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