title: Giant aneurysm of the left atrial branch of the left circumflex artery with fistula.
abstract: Giant coronary artery aneurysm with a fistula is a rare condition. We present one of the largest aneurysms of left circumflex coronary artery territory, arising from the left atrial branch of the left circumflex coronary artery. It had a maximum diameter of 10 cm, with a fistulous connection to the right atrium. Total exclusion of the aneurysmal mass was achieved by ligation of the afferent artery, closure of the entry point from within the aneurysm, and closure of the fistulous communication from within the right atrium. The patient's postoperative course was uneventful.
authors.affiliation: Dr PK Sen Department of Cardiovascular & Thoracic Surgery, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Nitin P
authors.initials: NP
authors.lastname: Gundre
authors.forename: Prashant
authors.initials: P
authors.lastname: Mishra
authors.forename: Balaji
authors.initials: B
authors.lastname: Aironi
authors.forename: Pradeep
authors.initials: P
authors.lastname: Vaideeswar
authors.forename: Nandkishor
authors.initials: N
authors.lastname: Agrawal
mesh_terms: D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: 23