[A case of bilateral coronary-pulmonary artery fistula with multicystic saccular aneurysms].
A 71-year-old woman was admitted to our hospital for evaluation of a chest X-ray abnormality. Heart murmur was not heard. Chest X-ray showed a bulge with calcification at left third arch. Chest computed tomography revealed contrast enhancement of masses, which appeared to originate from the vascular system. Coronary angiography demonstrated multicystic aneurysmal dilatation of a coronary artery fistula originating from the proximal left descending and right coronary artery. Electrocardiography showed no remarkable findings and a treadmill exercise test showed no significant ST-T change. The size of the mass of 3 cm in diameter on chest X-ray remained the same for two years. We concluded that surgery was not necessary immediately. In Japan, nineteen cases of coronary-pulmonary artery fistula with multicystic saccular aneurysms have been reported in the literature, including our case. The majority of these cases are elderly women from fifty to sixty years old.
Department of Pulmonary Medicine, Jichi Medical School, Tochigi, Japan.
Y
Y
Chiba
Y
Y
Ishii
Y
Y
Sugiyama
S
S
Kitamura
D000368:Aged; D001159:Arterio-Arterial Fistula / Q000150:complications*; D003323:Coronary Aneurysm / Q000150:complications*; D003330:Coronary Vessel Anomalies / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*