Surgical Treatment & Long-term Follow Up of Giant Spherical Coronary Artery Aneurysm with Fistula to Left Ventricle: A Case Report

Authors

  • Dihao Pan, MD Department of Cardiacvascular Surgery of the First Affiliated Hospital of Zhejiang University, Hangzhou, China
  • Chengcheng Li, MD University of Hawaii Internal Medicine Residency Program, Honolulu, Hawaii
  • Shengjun Wu, MD Department of Cardiacvascular Surgery of the First Affiliated Hospital of Zhejiang University, Hangzhou, China
  • Liang Ma, MD Department of Cardiacvascular Surgery of the First Affiliated Hospital of Zhejiang University, Hangzhou, China

DOI:

https://doi.org/10.1532/hsf.4959

Keywords:

Coronary Artery Aneurysm

Abstract

Congenital fistula between the first diagonal branch of the coronary artery and left ventricle with a giant coronary artery aneurysm is extremely rare. We present the case of a 50-year-old asymptomatic male patient with such a condition that was diagnosed by transthoracic echocardiography, coronary computed tomography angiography, and coronary angiography. The patient was treated by surgical fistula closure under cardiopulmonary bypass. The postoperative coronary computed tomography angiography showed the patient got a complete cure, and the patient remains asymptomatic after 5-year follow up.

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-S297.

Liberthson RR, Sagar K, Berkoben JP, et al. 1979. Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation. 59: 849-854.

Mangukia CV. 2012. Coronary Artery Fistula. The Annals of Thoracic Surgery. 93: 2084-2092.

Mavroudis C, Backer CL, Rocchini AP, et al. 1997. Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg. 63: 1235-1242.

Yamanaka O, Hobbs RE. 1990. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 21: 28-40.

Published

2022-09-28

How to Cite

Pan, D., Li, C., Wu, S., & ma, liang. (2022). Surgical Treatment & Long-term Follow Up of Giant Spherical Coronary Artery Aneurysm with Fistula to Left Ventricle: A Case Report. The Heart Surgery Forum, 25(5), E674-E675. https://doi.org/10.1532/hsf.4959

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Articles