PMID: 9170020Apr 1, 1997Paper

Cardiac tamponade due to a rupture of the coronary arteriovenous aneurysm--a case report

Journal of Korean Medical Science
J C RyuW R Lee

Abstract

We experienced an unusual case of cardiac tamponde caused by a rupture of the coronary arteriovenous aneurysm in a 54-year-old woman. The patient was suffered from sudden chest pain and syncope, and was initially managed by pericardiocentesis following an echocardiogram which revealed a massive pericardial effusion with signs of cardiac tamponade. She was referred to our hospital under the impression of aortic dissection with cardiac tamponade. She underwent an emergency operation and was found to have a 2 x 2 cm sized bleeding cystic mass protruding from the proximal anterior descending coronary artery. The aneurysm was excised and the openings connected with the coronary artery and right ventricular outflow tract were closed with sutures from the inside of aneurysm. Subsequent coronary arteriography supported the diagnosis.

Citations

Oct 25, 2011·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·S A M SaidA C B Pronk
Aug 29, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Shin-ichiro OzekiKatsusuke Yano
Apr 1, 2008·Congenital Heart Disease·Salah A M SaidBarbara J M Mulder
May 25, 2006·Journal of Cardiovascular Medicine·Francesco Iachini BellisariiRaffaele De Caterina
Oct 3, 1998·Herz·M Elsner, A M Zeiher

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