[A surgical case of atrial septal aneurysm associated with rheumatic mitral and tricuspid disease and coronary-pulmonary artery fistula].
A case of atrial septal aneurysm associated with combined valvular disease and coronary-pulmonary fistula (C-PA fistula) was presented. The patient successfully underwent mitral valve replacement, excision and closure of the aneurysm, tricuspid annuloplasty and closure of C-PA fistula. Atrial septal aneurysm is a rare anomaly and its natural course is thought to be generally good without significant clinical symptoms. However, complications such as cerebral and pulmonary embolism, or occlusion of the atrioventricular vales by the prolapsed aneurysm were reported to occur in small number of cases. In this case, diagnosis of the aneurysm was made by 2-D and Doppler echocardiography and further confirmed by cineangiography. Routine echocardiographic examinations will serve as useful noninvasive method for detection and follow up study of this anomaly.
Division of Cardiovascular Surgery, Toho University School of Medicine, Ohashi Hospital, Tokyo, Japan.
S
S
Tamura
K
K
Ebine
K
K
Sato
M
M
Lee
K
K
Matii
M
M
Aihara
D001159:Arterio-Arterial Fistula / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery; D012214:Rheumatic Heart Disease / Q000150:complications / Q000601:surgery*