Anomalous coronary to pulmonary artery fistula and aneurysm in an 86-year-old female.
An anomalous coronary artery to pulmonary artery fistula with concomitant aneurysmal dilation is quite rare, especially in the elderly. We present a case report of an 86-year-old female who presented with congestive heart failure from severe mitral regurgitation and was found to have such a coronary anomaly on preoperative angiography. The natural history, diagnosis, and treatment options are discussed.
Department of Cardiothoracic Surgery, University of Chicago, IL 60637, USA. heartandbones@yahoo.com
John Alfred
JA
Carr
Jafar
J
Al-Sadir
Valluvan
V
Jeevanandam
D000369:Aged, 80 and over; D001159:Arterio-Arterial Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D006348:Cardiac Surgical Procedures; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011651:Pulmonary Artery / Q000002:abnormalities*