Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula | Zendy

Takafumi Terada | Zendy; Yoshimori Araki | Zendy; Akihiro Kobayashi | Zendy; Osamu Kawaguchi | Zendy

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Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula

Author(s) -

Takafumi Terada,

Yoshimori Araki,

Akihiro Kobayashi,

Osamu Kawaguchi

Publication year - 2021

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2021/8438640

Subject(s) - medicine , aneurysm , cardiology , fistula , ventricle , artery , right coronary artery , coronary artery aneurysm , surgery , radiology , coronary angiography , myocardial infarction , kawasaki disease

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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