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Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report

BACKGROUND: Coronary artery aneurysms in most cases require surgical treatment once diagnosed. Lifelong anticoagulation is often needed after surgery. We herein describe a 55-year-old man who was asymptomatic and diagnosed with right giant coronary artery aneurysm combined with right atrial fistula....

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Autores principales: Ren, Yan, Xie, Lin, Ruan, Weiqiang, Li, Yajiao, Ji, Peng, Gan, Changping, Lin, Ke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842135/
https://www.ncbi.nlm.nih.gov/pubmed/31703594
http://dx.doi.org/10.1186/s12893-019-0624-3
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author Ren, Yan
Xie, Lin
Ruan, Weiqiang
Li, Yajiao
Ji, Peng
Gan, Changping
Lin, Ke
author_facet Ren, Yan
Xie, Lin
Ruan, Weiqiang
Li, Yajiao
Ji, Peng
Gan, Changping
Lin, Ke
author_sort Ren, Yan
collection PubMed
description BACKGROUND: Coronary artery aneurysms in most cases require surgical treatment once diagnosed. Lifelong anticoagulation is often needed after surgery. We herein describe a 55-year-old man who was asymptomatic and diagnosed with right giant coronary artery aneurysm combined with right atrial fistula. CASE PRESENTATION: This is a case of asymptomatic giant right coronary artery aneurysm concurrent with coronary artery fistula. Because the aneurysm was in the distal right posterior descending coronary artery, right coronary artery ligation and fistula occlusion through the right atrium were performed in the absence of cardiopulmonary bypass. The aneurysm was excluded without impacting the myocardial blood supply, and the patient was exempted from lifelong anticoagulation regimen. The follow-up revealed favorable outcomes and the patient’s life expectancy was improved. CONCLUSION: Decompression and exclusion without cardiopulmonary bypass can be adopted for distal coronary artery aneurysms that do not involve or only have a limited impact on distal blood supply. This procedure can exempt the patient from the lifelong anticoagulation regimen. In addition, the risk for myocardial ischemia caused by the thrombus in the aneurysm can also be avoided. The whole procedure is comparatively easy to perform.
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spelling pubmed-68421352019-11-14 Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report Ren, Yan Xie, Lin Ruan, Weiqiang Li, Yajiao Ji, Peng Gan, Changping Lin, Ke BMC Surg Case Report BACKGROUND: Coronary artery aneurysms in most cases require surgical treatment once diagnosed. Lifelong anticoagulation is often needed after surgery. We herein describe a 55-year-old man who was asymptomatic and diagnosed with right giant coronary artery aneurysm combined with right atrial fistula. CASE PRESENTATION: This is a case of asymptomatic giant right coronary artery aneurysm concurrent with coronary artery fistula. Because the aneurysm was in the distal right posterior descending coronary artery, right coronary artery ligation and fistula occlusion through the right atrium were performed in the absence of cardiopulmonary bypass. The aneurysm was excluded without impacting the myocardial blood supply, and the patient was exempted from lifelong anticoagulation regimen. The follow-up revealed favorable outcomes and the patient’s life expectancy was improved. CONCLUSION: Decompression and exclusion without cardiopulmonary bypass can be adopted for distal coronary artery aneurysms that do not involve or only have a limited impact on distal blood supply. This procedure can exempt the patient from the lifelong anticoagulation regimen. In addition, the risk for myocardial ischemia caused by the thrombus in the aneurysm can also be avoided. The whole procedure is comparatively easy to perform. BioMed Central 2019-11-08 /pmc/articles/PMC6842135/ /pubmed/31703594 http://dx.doi.org/10.1186/s12893-019-0624-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Ren, Yan
Xie, Lin
Ruan, Weiqiang
Li, Yajiao
Ji, Peng
Gan, Changping
Lin, Ke
Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title_full Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title_fullStr Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title_full_unstemmed Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title_short Fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
title_sort fistula occlusion and ligation for a giant right coronary artery aneurysm concurrent with right atrial fistula: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842135/
https://www.ncbi.nlm.nih.gov/pubmed/31703594
http://dx.doi.org/10.1186/s12893-019-0624-3
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