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Errico K, Hui DS. Commentary: Out with the flow. JTCVS Tech 2021; 9:78-79. [PMID: 34647065 PMCID: PMC8501200 DOI: 10.1016/j.xjtc.2021.06.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 06/21/2021] [Accepted: 06/28/2021] [Indexed: 11/16/2022] Open
Affiliation(s)
- Kristen Errico
- Department of Cardiothoracic Surgery, Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex
| | - Dawn S. Hui
- Department of Cardiothoracic Surgery, Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex
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2
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Sakamoto S, Kanemitsu S, Shimpo H, Kurita T. Tiny ruptured coronary aneurysm with coronary-pulmonary arterial fistula. Gen Thorac Cardiovasc Surg 2018; 67:1084-1086. [PMID: 30128719 DOI: 10.1007/s11748-018-0995-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Accepted: 08/17/2018] [Indexed: 10/28/2022]
Abstract
A 44-year-old man was admitted to our hospital with chest pain. We diagnosed him with pericardial effusion collection because of a spontaneous ruptured coronary aneurysm of 1.5 cm with coronary pulmonary arterial fistula (CPAF) by enhanced computed tomography and angiography. We completely resected the ruptured aneurysm and safely closed the CPAF. Rupture of coronary aneurysms with CPAF is rare, especially tiny aneurysms. In previous reports, most cases were older women and the diameter of the ruptured aneurysms was greater than 3.0 cm. We report a case of a middle-aged man with a tiny ruptured coronary aneurysm with CPAF.
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Affiliation(s)
- Shunsuke Sakamoto
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan.
| | - Shinji Kanemitsu
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
| | - Hideto Shimpo
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
| | - Tairo Kurita
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
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Yim D, Yong MS, d’Udekem Y, Brizard CP, Konstantinov IE. Early Surgical Repair of the Coronary Artery Fistulae in Children: 30 Years of Experience. Ann Thorac Surg 2015; 100:188-94. [DOI: 10.1016/j.athoracsur.2015.02.044] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 02/09/2015] [Accepted: 02/12/2015] [Indexed: 11/25/2022]
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4
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Bernhardt AM, Gulbins H, Reichenspurner H. Successful treatment of a dilated circumflex artery and coronary sinus fistula. Thorac Cardiovasc Surg Rep 2013; 2:2-5. [PMID: 25360400 PMCID: PMC4176069 DOI: 10.1055/s-0033-1348062] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Accepted: 05/07/2013] [Indexed: 11/28/2022] Open
Abstract
Coronary arteriovenous fistula is a rare entity and is mostly diagnosed and corrected in early childhood. We report the case of a 59-year-old female patient who was presented with chest pain during exertion for 3 months because of an aneurysmatic circumflex artery and coronary sinus fistula. We successfully ligated the circumflex artery close to the main stem and to the coronary sinus. The first marginal branch was revascularized by the left internal thoracic artery. The postoperative course was uneventful.
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Affiliation(s)
| | - Helmut Gulbins
- Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany
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5
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Morita H, Ozawa H, Yamazaki S, Yamauchi Y, Tsuji M, Katsumata T, Ishizaka N. A case of giant coronary artery aneurysm with fistulous connection to the pulmonary artery: a case report and review of the literature. Intern Med 2012; 51:1361-6. [PMID: 22687842 DOI: 10.2169/internalmedicine.51.7134] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Giant coronary artery aneurysm is a rare condition with a reported prevalence of 0.02%. Herein, we report the case of a 79-year-old woman with a giant coronary aneurysm arising from a branch of the left anterior descending coronary artery that had a fistulous connection to the pulmonary artery. The aneurysm was removed and inflow and outflow arteries were closed surgically. Histology showed prominent mucinous degeneration and infiltration of inflammatory cells in the medial layer. After successful surgery, the patient was discharged uneventfully.
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6
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Surgical repair of complicated coronary arteriovenous fistula and coronary artery aneurysm in an elderly patient after 26 years of conservative therapy. Heart Vessels 2010; 26:111-6. [DOI: 10.1007/s00380-010-0039-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2009] [Accepted: 03/11/2010] [Indexed: 10/18/2022]
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7
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Yoon HJ, Jeong MH, Lee MG, Ko JS, Park KH, Sim DS, Yoon NS, Kim KH, Park HW, Hong YJ, Kim JH, Ahn Y, Cho JG, Park JC, Kang JC. A case of asymptomatic giant coronary aneurysm with atrioventricular fistula. J Cardiol Cases 2010; 2:e71-e73. [DOI: 10.1016/j.jccase.2010.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2009] [Revised: 02/11/2010] [Accepted: 03/24/2010] [Indexed: 11/25/2022] Open
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8
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Sugiura T, Saito S, Kihara S, Sato W, Kurosawa H. Giant coronary artery aneurysm associated with medial mucoid degeneration. Ann Thorac Surg 2009; 87:933-4. [PMID: 19231425 DOI: 10.1016/j.athoracsur.2008.07.038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2007] [Revised: 06/18/2008] [Accepted: 07/09/2008] [Indexed: 10/21/2022]
Abstract
A 52-year-old man underwent surgical repair for coronary arteriovenous fistula including patch closure of two exitus of the fistula, double ligation of the dilated right coronary artery, and coronary bypass grafting to the right coronary artery with saphenous vein graft at the age of 25. Then, twenty-seven years later, a multi-detector computed tomographic scan revealed an aneurysmally dilated right coronary artery (4.8 cm), fistula, and saphenous vein graft. The aneurysm was resected and histologically mucoid degeneration in the media of the aneurysmal wall was detected.
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Affiliation(s)
- Tadahisa Sugiura
- Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Shinjuku, Tokyo, Japan.
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Kim SH, Ko JS, Yoon HJ, Lim SC, Cho SH, Kim HS, Lee JS, Park JC. A Case of Coronary Arteriovenous Fistula Associated with Giant Coronary Artery Aneurysm. J Cardiovasc Ultrasound 2009. [DOI: 10.4250/jcu.2009.17.2.70] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Soo-Hyun Kim
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Jum-Suk Ko
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Hyun-Ju Yoon
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Sang-Chun Lim
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Sook-Hee Cho
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Hey-Sook Kim
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Ji-Sun Lee
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
| | - Jong Chun Park
- Department of Cardiology, The Heart Center, Chonnam National University Hospital, Cardiovascular Research Institute, Chonnam National University Medical School, Gwangju, Korea
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