scholarly journals Multimodal imaging of right coronary artery to left ventricle fistula complicated by large coronary aneurysm

2019 ◽  
Vol 26 (1) ◽  
pp. 93-94
Author(s):  
Takao Konishi ◽  
Tadashi Yamamoto ◽  
Masato Hayakawa ◽  
Shizuko Iwasa ◽  
Hiroyuki Tsukui ◽  
...  
2021 ◽  
Vol 24 (3) ◽  
pp. E433-E436
Author(s):  
Wenjie Diao ◽  
Chao Shi ◽  
Ge Liu ◽  
Xuegang Liu

Right coronary artery–left ventricular (RCA–LV) fistula with associated giant right coronary artery aneurysm (CAA) is an extremely rare cardiac condition. This case study presents a patient with a large left ventricle (LV) and a giant right CAA with a maximal inner diameter of approximately 56.6 mm and an inner diameter of approximately 22 mm at its communication with the left ventricle. The patient underwent surgical management, involving suturing of the proximal end of the CAA and coronary artery bypass grafting (CABG). RCA–LV fistula with a giant right CAA may involve serious complications, such as thrombosis, rupture, and heart failure. Therefore, it is necessary to establish effective management strategies for this condition. Although this case is not unique, it serves as an illustrative example of the implementation of a classic surgical treatment method.


2012 ◽  
Vol 28 (5) ◽  
pp. 612.e9-612.e10
Author(s):  
Kiyotaka Watanabe ◽  
Kozo Hoshino ◽  
Kaoru Dohi ◽  
Naritatsu Saito ◽  
Takafumi Hashimoto ◽  
...  

2018 ◽  
Vol 27 (3) ◽  
pp. 467-468
Author(s):  
Stephanie L Perrier ◽  
Janet Lang ◽  
Bryn Jones ◽  
Igor E Konstantinov

2020 ◽  
Author(s):  
Wen jie Diao ◽  
Chao Shi ◽  
Ge Liu ◽  
Hai hui Li ◽  
Jin jin Meng ◽  
...  

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Benjamín Iván Hernández-Mejía ◽  
Edison Ricardo Espinoza-Saquicela

Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Younes Moutakiallah ◽  
Reda Mounir ◽  
Amir Aden Ali ◽  
Fouad Nya ◽  
Aniss Seghrouchni ◽  
...  

Abstract Introduction Total occlusion of the left main coronary artery is a very rare finding in coronary angiography because of its highly lethal nature. Right coronary artery dominance and extensive collateral circulation are the principal determinant factors of survival after total occlusion of the left main coronary artery. The impact on the left ventricle is often significant with a profound alteration of its systolic function. Case presentation We describe a 52-year-old North African man, a tobacco smoker, who presented symptoms of unstable angina related to a total chronic occlusion of his left main coronary artery with a right coronary artery stenosis. Unexpectedly, the impact on his left ventricle was absent with normal dimensions and systolic function. He underwent a successful on-pump coronary artery bypass grafting with uneventful postoperative course and good recovery. Conclusions Total occlusion of the left main coronary artery is a rare condition, the fact that the left ventricle retains a normal size and systolic function makes it exceptional, which must be kept in mind to avoid dangerous examinations and delayed treatment. Coronary artery bypass surgery should be considered the main treatment of total chronic occlusion of the left main coronary artery.


2017 ◽  
Vol 27 (6) ◽  
pp. 1214-1215
Author(s):  
Dongxu Li ◽  
Yabo Wang ◽  
Qi An

AbstractWe describe a rare case of aneurysmal right coronary artery drainage into left ventricle in a 38-year old male with entailed coronary CT images. After median sternotomy surgery, the patient recovered well.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Jeong-Woo Choi ◽  
Kyehwan Kim ◽  
Min Gyu Kang ◽  
Jin-Sin Koh ◽  
Jeong Rang Park ◽  
...  

A 76-year-old woman underwent coronary angiography for chest pain. On the coronary angiogram, no significant coronary artery atherosclerotic stenosis was observed. Multiple coronary artery microfistulas, draining from the left anterior descending artery to the left ventricle and from the posterior descending artery of the right coronary artery to the left ventricle, were observed. Apical wall thickening and fistula flow from the left anterior descending artery were demonstrated by using transthoracic echocardiography. We describe a rare case of multiple coronary artery microfistulas from the left and right coronary artery to the left ventricle combined with apical hypertrophic cardiomyopathy.


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