title: [Fistula-producing giant coronary aneurysm in a 62-year-old woman].
abstract: Giant coronary aneurysms (GCA with a diameter > 20 mm) are rare with a prevalence < 0.02%. A 62-year-old woman with no history of ischaemic heart disease was admitted to hospital with acute chest pain. A coronary angiography revealed a left an-terior descendent-associated GCA. A cardiac computed tomo-g-raphy demonstrated a "snake-pit"-like fistula connecting the GCA and the pulmonary artery. Atherosclerosis, connective tissue dis-orders, and previous coronary intervention will predispose to GCA. No evidence-based treatment regimen exists, but coiling, excision or a conservative approach, as in this case, is possible strategies.
authors.affiliation: Kardiologisk Afdeling P, Gentofte Hospital, Niels Andersens Vej 65, 2900 Hellerup. jannikjannik@gmail.com.
authors.forename: Jannik Langtved
authors.initials: JL
authors.lastname: Pallisgaard
authors.forename: Nis Ottesen
authors.initials: NO
authors.lastname: Stride
authors.forename: Peter
authors.initials: P
authors.lastname: San Myschetzky
authors.forename: Jan
authors.initials: J
authors.lastname: Bech
mesh_terms: D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed