title: Giant aneurysm in a left coronary artery fistula: diagnostic cardiovascular imaging and treatment considerations.
abstract: Congenital coronary artery fistula complicated with giant coronary artery aneurysm is a very rare condition. In this case report, we present a 65-year-old woman, referred to us with a continuous heart murmur, occasional atypical chest pain and few episodes of fainting. A giant aneurysm and a coronary-pulmonary fistula were diagnosed using multiple cardiovascular imaging modalities to provide a sufficient anatomical picture. The patient was considered at high risk of sudden death from aneurysm rupture and received surgical treatment. Subsequent histopathological examination revealed a true aneurysm with severe wall calcifications, ulcerations and large areas with marked thinning of the wall. The postoperative course was uneventful.
authors: Department of Cardiology, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark. daria.frestad@gmail.com
authors: Daria
authors: D
authors: Frestad
authors: Steffen
authors: S
authors: Helqvist
authors: Morten
authors: M
authors: Helvind
authors: Klaus
authors: K
authors: Kofoed
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000517:prevention & control*; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002114:Calcinosis; D003323:Coronary Aneurysm / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000473:pathology* / Q000601:surgery; D014456:Ulcer
references: Ann Thorac Surg. 1983 Mar;35(3):300-7
references: 6830365
references: Circ J. 2002 May;66(5):525-7
references: 12030354
references: Radiographics. 2009 May-Jun;29(3):781-9
references: 19448115
references: J Comput Assist Tomogr. 2008 Mar-Apr;32(2):271-3
references: 18379315
references: Ann Thorac Surg. 1992 Oct;54(4):732-40
references: 1417232
references: Int J Cardiol. 2006 Feb 8;107(1):7-10
references: 16125261