Large saccular aneurysm in a coronary arterial fistula--a case report.
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.
Kinoshita
Osamu
O
The First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan. kinos@hsp.md.shinshu-u.ac.jp
Ogiwara
Fumiaki
F
Hanaoka
Takeshi
T
Tomita
Takeshi
T
Yokozeki
Osamu
O
Kai
Ryuichi
R
Uchikawa
Shin-ichirou
S
Kogashi
Kaoru
K
Tsutsui
Hiroshi
H
Imamura
Hiroshi
H
Yazaki
Yoshikazu
Y
Ikeda
Uichi
U
Hongo
Minoru
M
Kubo
Keishi
K
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