Giant Atrial Septal Artery Aneurysm with a Fistula to the Right Atrium

Atrial Septal Artery Aneurysm

Authors

  • Bo Mei, MD, PhD Department of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  • Guangjie He, BD Department of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  • Xiong Tan, MD Department of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  • Weitao Jin, MD Department of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  • Yaxi Zhao, MD Department of Ultrasound, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
  • Yinglong Lai, MD Department of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China

DOI:

https://doi.org/10.1532/hsf.4031

Keywords:

Coronary artery aneurysm, Atrial septal artery aneurysm, Coronary artery fistula

Abstract

An atrial septal artery aneurysm is a rare disease, especially accompanied with a fistula. During clinical practice, it is very important to clear the anatomical details of the coronary aneurysm before operation. In the current article, we report a giant atrial septal artery aneurysm originating from a branch of the RCA combined with a coronary right atrial fistula. The coronary artery aneurysm should be evaluated using multiple diagnostic and imaging modalities, such as echocardiography, coronary artery angiography, magnetic resonance imaging, and cardiac CT, especially three-dimensional reconstruction, which could help us to distinguish the physiological and anatomical characteristics of the CAA and fistula.

References

Ebina T, Ishikawa Y, Uchida K, et al. 2009. A case of giant coronary artery aneurysm and literature review. J Cardiol 53(2):293-300.

Kawsara A, Núñez Gil IJ, Alqahtani F, et al. 2018. Management of Coronary Artery Aneurysms. JACC Cardiovasc Interv 9;11(13):1211-23.

Li D, Wu Q, Sun L, et al. 2005. Surgical treatment of giant coronary artery aneurysm. J Thorac Cardiovasc Surg 130:817–21.

Nunez-Gil IJ, Cerrato E, Bollati M, et al. 2020. Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR). Int J Cardiol 299:49-55.

Osada H, Kanemitsu N, Meshii K, et al. 2016. Giant atrial septal aneurysm originating from the right coronary artery. Interact Cardiovasc Thorac Surg 23(2):329-31.

Pham V, Hemptinne Q, Grinda JM, et al. 2020. Giant coronary aneurysms, from diagnosis to treatment: A literature review. Arch Cardiovasc Dis 113(1):59-69.

Syed M, Lesch M. 1997. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997 40(1):77-84.

Wang H, Zheng Z, Mou Y. 2020. Giant Right Coronary Artery Aneurysm Resembling Cardiac Tumor: A Case Report. Heart Surg Forum 23(2):E165-E169.

Published

2021-09-08

How to Cite

Mei, B., He, G., Tan, X., Jin, W., Zhao, Y., & Lai, Y. (2021). Giant Atrial Septal Artery Aneurysm with a Fistula to the Right Atrium: Atrial Septal Artery Aneurysm . The Heart Surgery Forum, 24(5), E781-E784. https://doi.org/10.1532/hsf.4031

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Article