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

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 res

SUBMITTER: Guerrero Becerra AF 

PROVIDER: S-EPMC7649478 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature