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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Autores principales: Terada, Takafumi, Araki, Yoshimori, Kobayashi, Akihiro, Kawaguchi, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516521/
https://www.ncbi.nlm.nih.gov/pubmed/34659837
http://dx.doi.org/10.1155/2021/8438640
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author Terada, Takafumi
Araki, Yoshimori
Kobayashi, Akihiro
Kawaguchi, Osamu
author_facet Terada, Takafumi
Araki, Yoshimori
Kobayashi, Akihiro
Kawaguchi, Osamu
author_sort Terada, Takafumi
collection PubMed
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.
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spelling pubmed-85165212021-10-15 Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula Terada, Takafumi Araki, Yoshimori Kobayashi, Akihiro Kawaguchi, Osamu Case Rep Cardiol Case Report 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. Hindawi 2021-10-07 /pmc/articles/PMC8516521/ /pubmed/34659837 http://dx.doi.org/10.1155/2021/8438640 Text en Copyright © 2021 Takafumi Terada et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Terada, Takafumi
Araki, Yoshimori
Kobayashi, Akihiro
Kawaguchi, Osamu
Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516521/
https://www.ncbi.nlm.nih.gov/pubmed/34659837
http://dx.doi.org/10.1155/2021/8438640
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