title: Giant coronary artery aneurysm with pulmonary artery fistula in a patient on chronic hemodialysis.
abstract: The combination of coronary artery aneurysm and pulmonary artery fistula is extremely rare and its common cause is atherosclerosis. A 61-year-old woman presented with a giant coronary artery aneurysm with pulmonary artery fistula and intramyocardial calcifications of the left ventricle associated with progressive atherosclerosis due to chronic hemodialysis. The coronary artery aneurysm was resected under cardiopulmonary bypass because of hemodynamic instability due to restrictive cardiac dysfunction. The patient's restrictive cardiac dysfunction was improved after aneurysm resection. Surgical resection should be considered for giant coronary artery aneurysm with restrictive cardiac dysfunction.
authors.affiliation: Department of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan. chiho-t@md.tsukuba.ac.jp
authors.forename: Chiho
authors.initials: C
authors.lastname: Tokunaga
authors.forename: Akito
authors.initials: A
authors.lastname: Imai
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Enomoto
authors.forename: Yumiko Oishi
authors.initials: YO
authors.lastname: Tanaka
authors.forename: Shonosuke
authors.initials: S
authors.lastname: Matsushita
authors.forename: Yuji
authors.initials: Y
authors.lastname: Hiramatsu
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Sakakibara
mesh_terms: D050197:Atherosclerosis / Q000150:complications; D002114:Calcinosis / Q000150:complications; D009202:Cardiomyopathies / Q000150:complications; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery; D006435:Renal Dialysis / Q000009:adverse effects; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery