title: Giant aneurysm of the left main coronary artery with fistulous communication to the right atrium.
abstract: The giant coronary artery aneurysm combined with coronary artery fistula is extremely uncommon. In our case, there was a giant aneurysm of the left main coronary artery with fistulous communication to the right atrium, combined with moderate aortic valve regurgitation, which was initially found by transthoracic echocardiogram and subsequently confirmed by the 256-slice multidetector computer tomography (MDCT) coronary angiography. After consultation, the patient received surgical treatment, including the closure of the drainage and origin sites of the aneurysm and the aortic valve replacement. The patient recovered uneventfully.
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. zhu5wolf@hotmail.com.
authors.forename: Zhicheng
authors.initials: Z
authors.lastname: Zhu
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. wangyong.hahaha@163.com.
authors.forename: Yong
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. xu6mouse@hotmail.com.
authors.forename: Rihao
authors.initials: R
authors.lastname: Xu
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. lidan99@jlu.edu.cn.
authors.forename: Dan
authors.initials: D
authors.lastname: Li
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. w19670721@163.com.
authors.forename: Tiance
authors.initials: T
authors.lastname: Wang
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. adam1911@21cn.com.
authors.forename: Bo
authors.initials: B
authors.lastname: Li
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. zsd_888905@sina.com.
authors.forename: Shudong
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, 130041, P.R. China. kxliu64@hotmail.com.
authors.forename: Kexiang
authors.initials: K
authors.lastname: Liu
mesh_terms: D003323:Coronary Aneurysm / Q000473:pathology*; D003324:Coronary Artery Disease / Q000473:pathology*; D005260:Female; D005402:Fistula / Q000473:pathology*; D006325:Heart Atria / Q000473:pathology*; D006801:Humans; D008875:Middle Aged