Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula

Coronary artery aneurysms combined with left ventricular fistulas are rare; coronary revascularization strategy after coronary artery aneurysm resection is complex in such cases. We report the surgical repair of a giant right coronary artery aneurysm with a fistula in the left ventricle in a 79-year...

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Main Authors: Takafumi Terada, Yoshimori Araki, Akihiro Kobayashi, Osamu Kawaguchi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2021/8438640
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author Takafumi Terada
Yoshimori Araki
Akihiro Kobayashi
Osamu Kawaguchi
author_facet Takafumi Terada
Yoshimori Araki
Akihiro Kobayashi
Osamu Kawaguchi
author_sort Takafumi Terada
collection DOAJ
description Coronary artery aneurysms combined with left ventricular fistulas are rare; coronary revascularization strategy after coronary artery aneurysm resection is complex in such cases. We report the surgical repair of a giant right coronary artery aneurysm with a fistula in the left ventricle in a 79-year-old woman diagnosed with an aneurysm 50 mm in diameter. Surgical repair included resection of the coronary artery aneurysm, coronary artery bypass grafting to the posterior descending artery, and isolation of reconstructed right coronary circulation from the fistula. The postoperative course was uneventful; postoperative coronary angiography revealed a patent bypass graft unconnected to the left ventricle.
format Article
id doaj-art-b349e92e36ba42358679eced0ca53040
institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-b349e92e36ba42358679eced0ca530402025-02-03T05:43:47ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/84386408438640Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular FistulaTakafumi Terada0Yoshimori Araki1Akihiro Kobayashi2Osamu Kawaguchi3Department of Cardiac Surgery, JA Aichi Koseiren Toyota Kosei Hospital, Aichi, JapanDepartment of Cardiac Surgery, JA Aichi Koseiren Toyota Kosei Hospital, Aichi, JapanDepartment of Cardiac Surgery, JA Aichi Koseiren Toyota Kosei Hospital, Aichi, JapanDepartment of Cardiac Surgery, JA Aichi Koseiren Toyota Kosei Hospital, Aichi, JapanCoronary artery aneurysms combined with left ventricular fistulas are rare; coronary revascularization strategy after coronary artery aneurysm resection is complex in such cases. We report the surgical repair of a giant right coronary artery aneurysm with a fistula in the left ventricle in a 79-year-old woman diagnosed with an aneurysm 50 mm in diameter. Surgical repair included resection of the coronary artery aneurysm, coronary artery bypass grafting to the posterior descending artery, and isolation of reconstructed right coronary circulation from the fistula. The postoperative course was uneventful; postoperative coronary angiography revealed a patent bypass graft unconnected to the left ventricle.http://dx.doi.org/10.1155/2021/8438640
spellingShingle Takafumi Terada
Yoshimori Araki
Akihiro Kobayashi
Osamu Kawaguchi
Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
Case Reports in Cardiology
title Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
title_full Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
title_fullStr Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
title_full_unstemmed Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
title_short Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
title_sort surgical strategy for huge right coronary artery aneurysm combined with left ventricular fistula
url http://dx.doi.org/10.1155/2021/8438640
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AT akihirokobayashi surgicalstrategyforhugerightcoronaryarteryaneurysmcombinedwithleftventricularfistula
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