title: Large saccular aneurysm in a coronary arterial fistula--a case report.
abstract: The authors present a case of a large saccular aneurysm in a coronary artery fistula originating from the proximal left anterior descending coronary artery, draining into the main trunk of the pulmonary artery. The diagnosis was made by 3-dimensional computed tomography and coronary arteriography. Congenital coronary artery fistula is not uncommon. With a saccular aneurysm, however, it is very rare. A ruptured aneurysm will induce sudden death if surgical repair is not done.
authors.affiliation: The First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan. kinos@hsp.md.shinshu-u.ac.jp
authors.forename: Osamu
authors.initials: O
authors.lastname: Kinoshita
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Ogiwara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hanaoka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tomita
authors.forename: Osamu
authors.initials: O
authors.lastname: Yokozeki
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kai
authors.forename: Shin-ichirou
authors.initials: S
authors.lastname: Uchikawa
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kogashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsutsui
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yazaki
authors.forename: Uichi
authors.initials: U
authors.lastname: Ikeda
authors.forename: Minoru
authors.initials: M
authors.lastname: Hongo
authors.forename: Keishi
authors.initials: K
authors.lastname: Kubo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003323:Coronary Aneurysm / Q000151:congenital* / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed