Ruptured aneurysm of coronary artery-to-pulmonary artery fistula.
A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematoma. The inflow and outflow of the fistula were closed, and no cardioplegic leakage was noted. Postoperative angiography showed residual fistulas that were successfully closed by transcatheter embolization.
Department of Cardiovascular Surgery, Asahikawa Medical University, Hokkaido, Japan. kazuno@asahikawa-med.ac.jp
Kei
K
Kazuno
Nobuyuki
N
Akasaka
Keiko
K
Kiyokawa
Tadahiro
T
Sasajima
D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D010490:Pericardial Effusion / Q000209:etiology; D011651:Pulmonary Artery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology