title: Surgical treatment of circumflex coronary aneurysm with fistulous connection to coronary sinus associated with persistent left superior vena cava.
abstract: Circumflex coronary arteriovenous fistula associated with aneurysmal dilatation and draining into coronary sinus (CS) is rare. A 57-year-old female presented with progressive dyspnea and was found to have a tortuous multiloculated aneurysm of the circumflex coronary artery terminating into the CS associated with a persistent left superior vena cava. The operative repair and management of coronary arteriovenous fistula are the subject of this case report and review.
authors.affiliation: Department of Cardiac Surgery Department of Cardiology Department of Cardiac Anaesthesia, Ramallah Hospital, West Bank, Jerusalem, Israel. darwaz30@hotmail.com
authors.forename: Ahmad K
authors.initials: AK
authors.lastname: Darwazah
authors.forename: Mohammed
authors.initials: M
authors.lastname: Eida
authors.forename: Mohammed
authors.initials: M
authors.lastname: Batrawy
authors.forename: Ismail
authors.initials: I
authors.lastname: Isleem
authors.forename: Naser
authors.initials: N
authors.lastname: Hanbali
mesh_terms: D001027:Aortography; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*; D014683:Vena Cava, Superior / Q000002:abnormalities*