title: Giant coronary artery aneurysm with fistula to the pulmonary artery complicated by frequent ventricular premature contractions: a case report.
abstract: Giant coronary artery aneurysm with a fistula is a rare condition. The presence of a giant aneurysm imposes considerable health risks. We report a case of a 67-year-old woman who presented with frequent ventricular premature contractions caused by a giant coronary aneurysm arising from a branch of the left anterior descending coronary artery that had a fistulous connection to the pulmonary artery. The patient was referred for cardiac surgery. The giant aneurysm was resected, and the proximal and distal openings were closed directly. The main pulmonary artery was opened longitudinally and the fistula was also closed directly. The patient's symptoms of frequent ventricular premature contractions disappeared postoperatively as confirmed by electrocardiography. Although the standard therapeutic strategies of the disease are not well established because of the rarity of this condition, our clinical results indicate that the surgical treatment is an effective choice.
authors.affiliation: From the Department of Cardiovascular Surgery (HC, LY, HF, ZL), Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China; and Cardiology Division, Department of Medicine (PC), Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
authors.forename: Hao
authors.initials: H
authors.lastname: Cao
authors.forename: Liang
authors.initials: L
authors.lastname: Ye
authors.forename: Paul
authors.initials: P
authors.lastname: Chan
authors.forename: Huimin
authors.initials: H
authors.lastname: Fan
authors.forename: Zhongmin
authors.initials: Z
authors.lastname: Liu
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003323:Coronary Aneurysm / Q000601:surgery*; D003331:Coronary Vessels; D005260:Female; D005402:Fistula; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery*; D018879:Ventricular Premature Complexes / Q000503:physiopathology*