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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Language: | English |
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Wiley
2021-01-01
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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 |
work_keys_str_mv | AT takafumiterada surgicalstrategyforhugerightcoronaryarteryaneurysmcombinedwithleftventricularfistula AT yoshimoriaraki surgicalstrategyforhugerightcoronaryarteryaneurysmcombinedwithleftventricularfistula AT akihirokobayashi surgicalstrategyforhugerightcoronaryarteryaneurysmcombinedwithleftventricularfistula AT osamukawaguchi surgicalstrategyforhugerightcoronaryarteryaneurysmcombinedwithleftventricularfistula |