Ruptured aneurysm of coronary arteriovenous fistula without aneurysmal coronary artery

2020 ◽  
Vol 35 (9) ◽  
pp. 2403-2406
Author(s):  
Tetsuro Uchida ◽  
Yoshinori Kuroda ◽  
Eiichi Ohba ◽  
Atsushi Yamashita ◽  
Shingo Nakai ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Arteriovenous Fistula ◽  
Ruptured Aneurysm ◽  
Coronary Arteriovenous Fistula

Acute Myocardial Infarction due to Coronary Arteriovenous Fistula in the Left Main and Anterior Descending Coronary Artery

2004 ◽  
Vol 34 (3) ◽  
pp. 314
Author(s):  
Ji Hyun Lim ◽  
Myung Ho Jeong ◽  
Young Joon Hong ◽  
Hyung Wook Park ◽  
Han Gyun Kim ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Arteriovenous Fistula ◽  
Left Main ◽  
Coronary Arteriovenous Fistula

scholarly journals Ruptured aneurysm of coronary arteriovenous fistula complicated with pericardial tamponade

Authorea ◽  
2020 ◽  
Author(s):  
Tetsuro Uchida ◽  
Yoshinori Kuroda ◽  
Eiichi Ohba ◽  
Atsushi Yamashita ◽  
Shingo Nakai ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Pericardial Tamponade ◽  
Ruptured Aneurysm ◽  
Coronary Arteriovenous Fistula

scholarly journals Surgical management of a giant right coronary artery aneurysm with coronary arteriovenous fistula: case report

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Albert Franz Guerrero Becerra ◽  
Andres Mauricio Palacio ◽  
Jaime Camacho ◽  
Nestor Sandoval
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Surgical Treatment ◽  
Arteriovenous Fistula ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Artery Aneurysm ◽  
Pericardial Patch ◽  
Coronary Arteriovenous Fistula ◽  
Autologous Pericardial Patch

Abstract Background Coronary artery aneurysms (CAAs) are uncommon, and giant aneurysms (>2 cm) are even more unusual. Coronary atherosclerosis and Kawasaki disease are the leading causes for this pathology. The treatment for this condition is controversial because the evidence is based on case report series. Case summary We describe the case of a 77-year-old female patient who presented with heart failure symptoms. She was diagnosed with a giant saccular aneurysm arising from the right coronary artery (RCA) ostium and a fistula between the RC and the left anterior descending artery (LAD) to the coronary sinus. And an atrial septal defect (ASD) and severe tricuspid regurgitation were also found. The patient underwent surgery through a medium sternotomy, the aneurysm was opened and resected under cardiopulmonary bypass. The RCA was ligated at the distal end of the aneurysm, and a saphenous vein graft bypass was performed. A coronary arteriovenous fistula from the distal portion of RC and LAD artery to a severely enlarged coronary sinus was found and corrected with an autologous pericardial patch. Closure of the ASD was performed with a pericardial patch and a tricuspid ring annuloplasty was done. Post-operative course was uneventful. Discussion There are few cases of giant coronary aneurysms associated with fistulas reported in the literature. Despite the endovascular percutaneous techniques available to treat these patients, we believe that surgical treatment was the best option for this particular case. We consider that surgical treatment is a very good option for giant CAAs associated with AV fistulas that are not susceptible for current endovascular available devices. The literature lacks evidence regarding the best approach for these cases, and we think that invasive treatment should be tailored according to the heart’s anatomy and patient risk.

Sign in / Sign up

Export Citation Format

Share Document