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Uchida T, Kuroda Y, Ohba E, Yamashita A, Nakai S, Kobayashi K, Ochiai T, Sadahiro M. Ruptured aneurysm of coronary arteriovenous fistula without aneurysmal coronary artery. J Card Surg 2020; 35:2403-2406. [PMID: 32652717 DOI: 10.1111/jocs.14793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Approximately 25% of coronary arteriovenous fistulas present aneurysmal dilatation; however, spontaneous rupture of the aneurysm is rare. Most coronary arteries branching the feeding arteries demonstrate aneurysmal formation, possibly because of shunt flow. CASE REPORT A 48-year-old woman was referred to our institution for surgical management of ruptured aneurysm of coronary arteriovenous fistula. The aneurysm was located on the left-anterior aspect of the pulmonary artery trunk, communicating with both left and right coronary arteries through two small feeding arteries draining into the pulmonary artery trunk. Both left and right coronary arteries showed normal diameter. The feeding arteries were ligated externally, and fistulous openings were closed within the aneurysm. Postoperative course was uneventful. CONCLUSION Aneurysm of coronary arteriovenous fistula can occur in patients without aneurysmal coronary artery. Although the association of ruptured aneurysm with coronary fistulas is relatively rare, it should be considered a potential cause of acute cardiac tamponade.
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Affiliation(s)
- Tetsuro Uchida
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Yoshinori Kuroda
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Eiichi Ohba
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Atsushi Yamashita
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Shingo Nakai
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Kimihiro Kobayashi
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Tomonori Ochiai
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Mitsuaki Sadahiro
- Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
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Wu W, Li Y, Fang L, Yang Y, Xie M. Multimodality imaging in preparation for surgery of coronary to pulmonary arterial fistulas complicated with a huge coronary aneurysm. Echocardiography 2019; 36:2126-2128. [PMID: 31621955 DOI: 10.1111/echo.14501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Accepted: 09/26/2019] [Indexed: 11/28/2022] Open
Abstract
Coronary to pulmonary arterial fistula complicated with huge coronary aneurysm is a very rare condition. In this paper, we report a patient with bilateral coronary arteries to pulmonary artery fistulas with a giant coronary artery aneurysm. The patient was treated successfully by closure of the fistulas and repair of the coronary artery aneurysm with the preparation of multimodality imaging for surgery.
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Affiliation(s)
- Wenqian Wu
- Department of Ultrasound, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.,Hubei Key Province Laboratory of Molecular Imaging, Wuhan, China
| | - Yuman Li
- Department of Ultrasound, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.,Hubei Key Province Laboratory of Molecular Imaging, Wuhan, China
| | - Lingyun Fang
- Department of Ultrasound, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.,Hubei Key Province Laboratory of Molecular Imaging, Wuhan, China
| | - Yali Yang
- Department of Ultrasound, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.,Hubei Key Province Laboratory of Molecular Imaging, Wuhan, China
| | - Mingxing Xie
- Department of Ultrasound, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.,Hubei Key Province Laboratory of Molecular Imaging, Wuhan, China
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Huang J, Zeng K, Yang Y, Zhang Y, Wang J. Sinus node artery aneurysm arising from the left main coronary artery with a fistula into the right atrium. J Card Surg 2019; 34:37-40. [PMID: 30597653 DOI: 10.1111/jocs.13967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Jingjing Huang
- Cardiovascular Medicine Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Kuan Zeng
- Cardiovascular Surgery Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Yanqi Yang
- Cardiovascular Surgery Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Yuling Zhang
- Cardiovascular Medicine Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Jingfeng Wang
- Cardiovascular Medicine Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
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4
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He X, Ruan W, Han J, Lin K. Coronary artery fistula from the left circumflex artery to the right atrium in an infant. J Card Surg 2018; 33:864-866. [PMID: 30560560 DOI: 10.1111/jocs.13946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Xiangyu He
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China
| | - Weiqiang Ruan
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China
| | - Junyang Han
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China
| | - Ke Lin
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China
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5
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Uchida T, Hamasaki A, Kuroda Y, Yamashita A, Sadahiro M. Surgical management of proximal coronary arteriovenous fistulas using intraoperative fluorescence imaging. J Card Surg 2018; 33:836-839. [DOI: 10.1111/jocs.13942] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- Tetsuro Uchida
- Second Department of SurgeryFaculty of MedicineYamagata UniversityYamagataJapan
| | - Azumi Hamasaki
- Second Department of SurgeryFaculty of MedicineYamagata UniversityYamagataJapan
| | - Yoshinori Kuroda
- Second Department of SurgeryFaculty of MedicineYamagata UniversityYamagataJapan
| | - Atsushi Yamashita
- Second Department of SurgeryFaculty of MedicineYamagata UniversityYamagataJapan
| | - Mitsuaki Sadahiro
- Second Department of SurgeryFaculty of MedicineYamagata UniversityYamagataJapan
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6
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Jacobsen K, Khouzam N. Left main coronary artery aneurysm with a fistula draining into the right atrium. J Card Surg 2018; 33:803-805. [PMID: 30525234 PMCID: PMC6587491 DOI: 10.1111/jocs.13960] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Kristina Jacobsen
- Division of Cardiothoracic Surgery, Florida Hospital, University of Central Florida, Orlando, Florida
| | - Nayer Khouzam
- Division of Cardiothoracic Surgery, Florida Hospital, Orlando, Florida
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7
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Gennari M, Agrifoglio M, Formenti A, Polvani G. Giant circumflex coronary artery aneurysm presenting as an intra-pericardial mass. J Card Surg 2018; 33:744-745. [PMID: 30306619 DOI: 10.1111/jocs.13930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - Marco Agrifoglio
- Centro Cardiologico Monzino IRCCS, Milan, Italy.,Department of Cardiovascular Sciences and Community Health, University of Milan, Milan, Italy
| | | | - Gianluca Polvani
- Centro Cardiologico Monzino IRCCS, Milan, Italy.,Department of Cardiovascular Sciences and Community Health, University of Milan, Milan, Italy
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Rashid U, Tariq A, Dominguez A, Kliger C, Hemli J, Brinster D. Surgical repair of bilateral coronary artery fistulae and a left main coronary artery aneurysm following a failed percutaneous embolization. J Card Surg 2018; 33:735-738. [PMID: 30270450 DOI: 10.1111/jocs.13826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Umar Rashid
- Department of Cardiovascular Medicine, Lenox Hill Hospital-Northwell Health, New York, New York
| | - Afnan Tariq
- Department of Structural Cardiology, NYU Langone Health, New York, New York
| | - Alvaro Dominguez
- Department of Cardiovascular Medicine, Lenox Hill Hospital-Northwell Health, New York, New York
| | - Chad Kliger
- Department of Cardiac Surgery, Lenox Hill Hospital-Northwell Health, New York, New York
| | - Jonathan Hemli
- Department of Cardiac Surgery, Lenox Hill Hospital-Northwell Health, New York, New York
| | - Derek Brinster
- Department of Cardiac Surgery, Lenox Hill Hospital-Northwell Health, New York, New York
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Hsu CY, Chana R, Ayoub C, Schoenhagen P, Roselli EE, Pettersson GB, Bakaeen FG. Surgical repair of a left main coronary artery aneurysm. J Card Surg 2018; 33:634-637. [PMID: 30221393 DOI: 10.1111/jocs.13819] [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] [Indexed: 12/01/2022]
Abstract
We report the repair of a 6.5 × 5.3-cm left main coronary artery aneurysm by marsupialization of the aneurysm sac and coronary artery bypass grafting.
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Affiliation(s)
- Chan-Yang Hsu
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
| | - Rajdeep Chana
- Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
| | - Chadi Ayoub
- Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
| | - Paul Schoenhagen
- Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.,Department of Diagnostic Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
| | - Eric E Roselli
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
| | - Gosta B Pettersson
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
| | - Faisal G Bakaeen
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
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10
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Issa M, Berzingi C, Alkhouli M. Resolution of exertional angina after coil embolization of coronary to pulmonary artery fistula. J Card Surg 2018; 33:308-309. [PMID: 29726043 DOI: 10.1111/jocs.13711] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Mayada Issa
- Department of Medicine, West Virginia University, Morgantown, West Virginia
| | - Chalak Berzingi
- Division of Cardiology, West Virginia University, Morgantown, West Virginia
| | - Mohamad Alkhouli
- Division of Cardiology, West Virginia University, Morgantown, West Virginia
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