Rupture of a giant saccular aneurysm of coronary arteriovenous fistulas.
A 58-year-old Japanese woman was admitted to our hospital because of chest pain. A continuous murmur was detected at the left parasternal area. Electrocardiogram showed ST elevation in leads V2, V3 and V4. Chest computed tomography and echocardiography demonstrated pericardial effusion and a large mass which was adjacent to the pulmonary artery. An abnormal blood flow was detected in the mass by Doppler echocardiography. Coronary angiography confirmed that the mass was a giant aneurysm of coronary arteriovenous fistula arising from both the left and right coronary arteries. This patient had no symptoms until rupture of the fistula. Rupture of a coronary arteriovenous fistula is very rare but can be a cause of chest pain and pericardial effusion.
Ito
M
M
First Department of Internal Medicine, Niigata University School of Medicine, Japan.
Kodama
M
M
Saeki
M
M
Fukunaga
H
H
Goto
T
T
Inoue
H
H
Kasuya
S
S
Aizawa
Y
Y
D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis*; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis*; D002637:Chest Pain / Q000209:etiology; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis*; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed