title: [Cardiac tamponade due to ruptured coronary artery aneurysm associated with coronary-pulmonary artery fistula; report of a case].
abstract: We report a successful operative treatment of ruptured coronary artery aneurysm associated with coronary-pulmonary artery fistula. A 67-year-old woman was diagnosed with coronary artery fistula previously but observed without any treatment. She had medical examination at a previous hospital because of sudden onset of dyspnea, and transported to our institution with a diagnosis of cardiac tamponade. Multi-detector computed tomography (MDCT) showed massive pericardial effusion, coronary-pulmonary artery fistula and giant coronary artery aneurysm. We performed emergency operation. Under cardiopulmonary bypass, coronary artery fistula and aneurysm was resected. Postoperative MDCT showed almost complete exclusion of coronary artery fistula. Postoperative course was uneventful.
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan.
authors.forename: Yuuya
authors.initials: Y
authors.lastname: Tauchi
authors.forename: Takanori
authors.initials: T
authors.lastname: Shibukawa
authors.forename: Hisashi
authors.initials: H
authors.lastname: Satoh
authors.forename: Hikaru
authors.initials: H
authors.lastname: Matsuda
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed