[Ruptured saccular aneurysm of a coronary artery to pulmonary artery fistula associated with cardiac tamponade].
We reported a case of ruptured saccular aneurysm of coronary artery to pulmonary artery fistula. The patient was a 59-year-old woman who was admitted for loss of consciousness and cardiogenic shock. Echocardiogram and computed tomography revealed cardiac tamponade. Rupture of saccular aneurysm of a coronary artery to pulmonary artery fistula was diagnosed by coronary angiography. Emergent pericardial drainage was performed, but she developed shock due to cardiac tamponade. The aneurysm was resected on a beating heart. The postoperative course was uneventful.
Sakao
T
T
Department of Cardiovascular Surgery, Uwajima City Hospital, Japan.
Tsunooka
N
N
Nakagawa
H
H
Kajiwara
S
S
D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology*; D013504:Cardiovascular Surgical Procedures; D003323:Coronary Aneurysm / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000209:etiology; D016896:Treatment Outcome