title: Cardiac tamponade due to rupture of coronary artery fistula to the coronary sinus with giant aneurysm of coronary artery: usefulness of transthoracic echocardiography.
abstract: A 68-year-old woman was admitted to our hospital because of back pain and syncope. Transthoracic echocardiography revealed pericardial effusion, a collapsed right ventricle, a giant aneurysm connected to the coronary sinus, a dilated left main trunk coronary artery, and a dilated left circumflex artery (LCx). Furthermore, there was a coronary artery fistula arising from the LCx that drained into the coronary sinus. We diagnosed cardiac tamponade due to rupture of the coronary artery fistula or giant aneurysm, and successful emergency surgery was performed. Rupture of coronary artery aneurysm or coronary artery fistula is very rare. Transthoracic two-dimensional echocardiography was very useful in our case for the diagnosis of cardiac tamponade, giant coronary aneurysm, and coronary artery fistula.
authors.affiliation: The First Division of Cardiology, National Hospital Organization Kagoshima Medical Center, 8-1 Shiroyama, Kagoshima, 892-0853, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yoshino
authors.forename: Shinichi
authors.initials: S
authors.lastname: Minagoe
authors.forename: Bo
authors.initials: B
authors.lastname: Yu
authors.forename: Ippei
authors.initials: I
authors.lastname: Kosedo
authors.forename: Makoto
authors.initials: M
authors.lastname: Yamashita
authors.forename: Munesumi
authors.initials: M
authors.lastname: Ishizawa
authors.forename: Mihoko
authors.initials: M
authors.lastname: Kono
authors.forename: Manabu
authors.initials: M
authors.lastname: Setoguchi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nakashima
authors.forename: Tatsuru
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Shoichi
authors.initials: S
authors.lastname: Suehiro
authors.forename: Goichi
authors.initials: G
authors.lastname: Yotsumoto
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yamashita
authors.forename: Chuwa
authors.initials: C
authors.lastname: Tei
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D054326:Coronary Sinus / Q000000981:diagnostic imaging; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D005260:Female; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome