title: Surgical correction of a congenital coronary arterial fistula and a massive sinus of Valsalva aneurysm.
abstract: The case of a 22-year old male patient who presented with a congenital coronary arterial fistula from the right coronary artery to the right ventricle is described. The arterial fistula had led to an aneurysm of the right sinus of Valsalva and the proximal right coronary artery. The aneurysm was incised from the aorta and the fistula closed with a pericardial patch. The diameter of the aneurysm was reduced by plication. Successful occlusion of the fistula and the competence of the aortic valve were confirmed by transoesophageal echocardiography.
authors.affiliation: Department of Cardiothoracic Surgery, German Heart Centre, Technical University Munich, Munich, Germany. katja.stroeh@gmail.com
authors.forename: Katja
authors.initials: K
authors.lastname: Stroeh
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.forename: Richard
authors.initials: R
authors.lastname: Henze
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
mesh_terms: D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult