title: Cardiac tamponade due to spontaneous rupture of large coronary artery aneurysm.
abstract: A 70-year-old woman admitted with chest pain went into shock due to cardiac tamponade; 1000 mL of blood was drained from her pericardium. Enhanced computed tomography showed massive pericardial effusion and a coronary artery aneurysm in front of the main pulmonary artery. Coronary angiography revealed a coronary artery-pulmonary artery fistula and 3 giant saccular coronary artery aneurysms. Emergency surgical repair was successful.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. sakimura@heart.med.kyushu-u.ac.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kimura
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Ueno
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology*; D003323:Coronary Aneurysm / Q000150:complications*; D003324:Coronary Artery Disease / Q000150:complications; D005260:Female; D006801:Humans; D011651:Pulmonary Artery; D012422:Rupture, Spontaneous; D016157:Vascular Fistula / Q000150:complications