title: Acute respiratory insufficiency and giant coronary artery aneurysm with fistula.
abstract: Several causes of acute respiratory insufficiency have been reported in the literature. We describe a case in which it was caused by a rare combination of a giant right coronary artery aneurysm with fistula that occurred in a 56-year-old woman with concomitant congenital hypothyroidism. Diagnostic tools, differential diagnosis, surgical techniques, and follow-up at 1 year are discussed.
authors.affiliation: Department of Cardiologia Medica e Chirurgica dell'Età Evolutiva, Azienda USL 5-Ospedale San Vincenzo, Taormina, Messina, Italy. carmignosi@tiscali.it
authors.forename: Carmelo
authors.initials: C
authors.lastname: Mignosa
authors.forename: Salvatore
authors.initials: S
authors.lastname: Agati
authors.forename: Innocenzo
authors.initials: I
authors.lastname: Bianca
authors.forename: Dario
authors.initials: D
authors.lastname: Salvo
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pittella
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ciccarello
mesh_terms: D000208:Acute Disease; D003323:Coronary Aneurysm / Q000150:complications* / Q000453:epidemiology; D004108:Dilatation, Pathologic; D005260:Female; D005402:Fistula / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D007037:Hypothyroidism / Q000453:epidemiology*; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology*