Fistulae ligation and left main artery ligation for a bilateral giant coronary arterial fistulae-related aneurysm

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Hao-Yi HsiaoChih-Yuan Fang

Abstract

Bilateral congenital coronary artery fistulae complicated with a giant coronary artery aneurysm is a very rare condition. A coronary artery aneurysm is a coronary artery dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. The complications associated with a coronary artery aneurysm include thrombosis, embolization, rupture, vasospasm, congestive heart failure and infectious endocarditis. We report on a 63-year-old woman presenting with severe heart failure related to bilateral coronary artery fistulae. A giant coronary aneurysm was noted in the right coronary artery, and a tortuous coronary artery fistula was noted in the left coronary artery. Symptoms were relieved after surgical intervention for bilateral coronary artery fistulae.

References

Oct 1, 1992·The Annals of Thoracic Surgery·E D FernandesD A Cooley
Jul 31, 2010·Journal of Cardiovascular Medicine·Giuseppe AndòGiuseppe Oreto

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