title: A giant coronary artery aneurysm with coronary arteriovenous fistula in asymptomatic elderly patient.
abstract: Coronary Arteriovenous Fistula (CAF) is a rare defect that occurs in 0.1-0.2% of patients undergoing coronary angiography; Coronary Artery Aneurism (CAA) also occurs in approximately 15-19% of patients with CAF. It is usually congenital, but in rare occasions it occurs after chest trauma, cardiac surgery, or coronary interventions. The case described is that of a 72-year-old woman, without previous history of cardiovascular disease, who presented a huge cardiac mass. A multimodal approach was necessary to diagnose a giant CAA with CAF responsible for compression and displacement of cardiac structures. Due to likely congenitally origin of the lesion and the absence of symptoms correlated to the CAA and to the CAF we decided to avoid invasive interventions and to treat the patient with medical therapy.
authors: Cardio-Thoracic and Vascular Department, University Hospital of Terni, Via Tristano di Joannuccio 1, 05100 Terni, Italy.
authors: Caterina
authors: C
authors: Milici
authors: Daniella
authors: D
authors: Bovelli
authors: Valentino
authors: V
authors: Borghetti
authors: Georgette
authors: G
authors: Khoury
authors: Marco
authors: M
authors: Bazzucchi
authors: Massimo
authors: M
authors: Principi
authors: Marcello
authors: M
authors: Dominici
authors: Enrico
authors: E
authors: Boschetti