Bilateral coronary artery fistulas with a giant coronary aneurysm complicated by aneurysm rupture: A case report

RATIONALE: Coronary artery aneurysms and fistulas are not rare conditions in clinical practice, but bilateral fistulas with a giant coronary aneurysm in just one person are quite rare. PATIENT CONCERNS: We report a case of a 66-year-old woman with these 2 coronary abnormalities accompanied with a hu...

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Detalles Bibliográficos
Autores principales: Li, Hui, Zhao, Ying, Zhang, Hui-ping, Ai, Hu, Zheng, Nai-xin, Tang, Guo-dong, Sun, Fu-cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
3400
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120951/
https://www.ncbi.nlm.nih.gov/pubmed/27861394
http://dx.doi.org/10.1097/MD.0000000000005445
Descripción
Sumario:RATIONALE: Coronary artery aneurysms and fistulas are not rare conditions in clinical practice, but bilateral fistulas with a giant coronary aneurysm in just one person are quite rare. PATIENT CONCERNS: We report a case of a 66-year-old woman with these 2 coronary abnormalities accompanied with a huge mediastinum mass. INTERVENTIONS: The giant aneurysm was ligated and the mass was resected which was proved to be an organized hematoma finally. OUTCOMES: The patient was discharged soon with no complications. LESSONS: The best treatment of giant coronary aneurysm is not clear because of its rarity, surgical resection may be the right procedure for the potential serious complications like this case.

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