Project description:Coronary artery aneurysms are uncommon and may be complicated by rupture, thromboembolic phenomenon, and more rarely fistulation into one of the cardiac chambers. This case report highlights the difficulty in making a preoperative diagnosis of a coronary artery aneurysm that has fistulated into the right atrium, and lists possible differential diagnoses.

| S-EPMC1767494 | biostudies-literature

Large right coronary artery aneurysm with small fistula to coronary sinus: multimodality imaging.

Project description: Not available

| S-EPMC10132462 | biostudies-literature

Rare case of a giant thrombosed left anterior descending coronary artery aneurysm.

Project description:BackgroundCoronary artery aneurysms (CAAs) are rare, and giant CAAs are even rarer. The pathophysiology of this phenomenon is still unknown.Case presentationHerein, we present the case of a 49-year-old male with a giant aneurysm in the left anterior descending artery.ConclusionsThe optimal treatment for CAAs is debatable, but surgical intervention is preferred for giant CAAs.

| S-EPMC7393696 | biostudies-literature

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

Project description: Not available

| S-EPMC8086696 | biostudies-literature

ALCAPA: A Giant Right Coronary Artery Aneurysm

Project description: Not available

| S-EPMC11845350 | biostudies-literature

Giant right coronary artery aneurysm associated with coronary-cameral fistula.

Project description: Not available

| S-EPMC3368480 | biostudies-literature

Successful Intervention for a Thrombosed Giant Coronary Artery Aneurysm in Multisystem Inflammatory Syndrome in Children.

Project description:We report the case of a 13-year-old who presented with an ST-segment elevation myocardial infarction caused by a thrombotic occlusion of an aneurysmal left anterior descending coronary artery. Our patient was diagnosed and treated for multisystem inflammatory syndrome in children and underwent successful balloon angioplasty and aspiration thrombectomy.(Level of Difficulty: Intermediate.).

| S-EPMC9350904 | biostudies-literature

Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report.

Project description:BACKGROUND:Coronary artery aneurysms in most cases require surgical treatment once diagnosed. Lifelong anticoagulation is often needed after surgery. We herein describe a 55-year-old man who was asymptomatic and diagnosed with right giant coronary artery aneurysm combined with right atrial fistula. CASE PRESENTATION:This is a case of asymptomatic giant right coronary artery aneurysm concurrent with coronary artery fistula. Because the aneurysm was in the distal right posterior descending coronary artery, right coronary artery ligation and fistula occlusion through the right atrium were performed in the absence of cardiopulmonary bypass. The aneurysm was excluded without impacting the myocardial blood supply, and the patient was exempted from lifelong anticoagulation regimen. The follow-up revealed favorable outcomes and the patient's life expectancy was improved. CONCLUSION:Decompression and exclusion without cardiopulmonary bypass can be adopted for distal coronary artery aneurysms that do not involve or only have a limited impact on distal blood supply. This procedure can exempt the patient from the lifelong anticoagulation regimen. In addition, the risk for myocardial ischemia caused by the thrombus in the aneurysm can also be avoided. The whole procedure is comparatively easy to perform.

| S-EPMC6842135 | biostudies-literature

A giant right coronary artery aneurysm caused by congenital coronary fistula.

Project description: Not available

| S-EPMC7180545 | biostudies-literature