Giant atrial septal aneurysm originating from the right coronary artery.
Giant coronary artery aneurysm is a rare clinical entity and its involvement in the interatrial space is extremely rare. We here report the rare surgical case of a 67-year old man with giant right coronary artery aneurysm located in the atrial septum with fistula formation to the right atrium, complicated with congestive heart failure, rapid atrial fibrillation and left atrial appendage thrombus. The patient eventually recovered fully without sequelae.
Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan osahiro@kuhp.kyoto-u.ac.jp.
Hiroaki
H
Osada
Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Naoki
N
Kanemitsu
Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Katsuaki
K
Meshii
Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Motoaki
M
Ohnaka
D000368:Aged; D054087:Atrial Septum; D006348:Cardiac Surgical Procedures / Q000379:methods; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Aneurysm; Coronary artery bypass graft; Coronary artery imaging; Heart failure