Surgical management of a circumflex aneurysm with fistula to the coronary sinus.
We report the successful management of a circumflex coronary artery aneurysm with fistula to the coronary sinus. Our strategy aimed at closing the fistula and grafting the obtuse marginal artery. The calcified aneurysm was left intact, and showed secondary thrombus formation on the postoperative angiogram.
Department of Cardio-thoracic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon.
Jamil
J
Hajj-Chahine
Fadia
F
Haddad
Issam
I
El-Rassi
Victor
V
Jebara
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D054326:Coronary Sinus / Q000002:abnormalities* / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed