scholarly journals Mysterious window: A right coronary artery-left ventricular fistula diagnosed by multiple imaging methods

2021 ◽  
Author(s):  
Yi Yu ◽  
Qian Wang ◽  
Cheng Li ◽  
Jian Sun ◽  
Wei Li ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Giant Aneurysm ◽  
Left Ventricular ◽  
Chest Tightness ◽  
Coronary Artery Angiography ◽  
Multiple Imaging ◽  
Dual Source ◽  
Proximal Right Coronary Artery

Prevalence of primary coronary cameral fistula (CCF) is extremely rare, especially for CCF with the drainage site into the left ventricle. We describe a 45-year-old patient with chest tightness in whom a giant aneurysm associated with proximal right coronary artery (RCA), and the distal end of RCA terminated into the left ventricle through a fistula was discovered by echocardiography. Dual-source computer tomography revealed the CCF-related giant RCA aneurysm. The drainage site and coexistent abnormality could not be visualized well by coronary artery angiography because of the severely diluted contrast medium into the aneurysm. Finally, the patient received surgical treatment and is asymptomatic now.

scholarly journals Surgical Strategy for Huge Right Coronary Artery Aneurysm Combined with Left Ventricular Fistula

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Takafumi Terada ◽  
Yoshimori Araki ◽  
Akihiro Kobayashi ◽  
Osamu Kawaguchi
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Repair ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Left Ventricular

Coronary artery aneurysms combined with left ventricular fistulas are rare; coronary revascularization strategy after coronary artery aneurysm resection is complex in such cases. We report the surgical repair of a giant right coronary artery aneurysm with a fistula in the left ventricle in a 79-year-old woman diagnosed with an aneurysm 50 mm in diameter. Surgical repair included resection of the coronary artery aneurysm, coronary artery bypass grafting to the posterior descending artery, and isolation of reconstructed right coronary circulation from the fistula. The postoperative course was uneventful; postoperative coronary angiography revealed a patent bypass graft unconnected to the left ventricle.

scholarly journals Coronary Artery–Left Ventricular Fistula with Giant Right Coronary Aneurysm: A Case Report and Literature Review

2021 ◽  
Vol 24 (3) ◽  
pp. E433-E436
Author(s):  
Wenjie Diao ◽  
Chao Shi ◽  
Ge Liu ◽  
Xuegang Liu
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Management Strategies ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Treatment Method ◽  
Left Ventricular ◽  
Inner Diameter

Right coronary artery–left ventricular (RCA–LV) fistula with associated giant right coronary artery aneurysm (CAA) is an extremely rare cardiac condition. This case study presents a patient with a large left ventricle (LV) and a giant right CAA with a maximal inner diameter of approximately 56.6 mm and an inner diameter of approximately 22 mm at its communication with the left ventricle. The patient underwent surgical management, involving suturing of the proximal end of the CAA and coronary artery bypass grafting (CABG). RCA–LV fistula with a giant right CAA may involve serious complications, such as thrombosis, rupture, and heart failure. Therefore, it is necessary to establish effective management strategies for this condition. Although this case is not unique, it serves as an illustrative example of the implementation of a classic surgical treatment method.

Autologous Patch Angioplasty of a Giant Right Coronary Artery Aneurysm and Coronary Stenosis in Kawasaki Disease

2019 ◽  
Vol 10 (3) ◽  
pp. 351-354 ◽  
Author(s):  
Srujan Ganta ◽  
Minoo Kavarana
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Right Coronary Artery ◽  
Median Sternotomy ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Patch Angioplasty ◽  
Aneurysmal Dilation ◽  
Autologous Pericardial Patch ◽  
Proximal Right Coronary Artery

We describe our management of a 2-year-old patient with Kawasaki disease with a giant proximal right coronary artery (RCA) aneurysm and a >99% RCA ostial stenosis. After median sternotomy and cardioplegic arrest of the heart, we opened the aorta and cut into the RCA ostium past the stenosis and giant aneurysm. The RCA was reconstructed with an autologous pericardial patch. Cross-clamp and cardiopulmonary bypass times of 84 minutes and 114 minutes, respectively, were required. Our approach avoids mammary harvesting and grafting in such small patients while successfully treating ischemia and hopefully prevents further aneurysmal dilation over time.

Giant right coronary artery aneurysm

2020 ◽  
Vol 28 ◽  
pp. 1-3
Author(s):  
Alexandre Bonfim ◽  
Ronald Souza ◽  
Sérgio Beraldo ◽  
Frederico Nunes ◽  
Daniel Beraldo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Clinical Course ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Artery Aneurysms ◽  
History Of ◽  
Artery Disease ◽  
The Right

Right coronary artery aneurysms are rare and may result from severe coronary disease, with few cases described in the literature. Mortality is high, and therapy is still controversial. We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion. During the evaluation, a giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course.

Restenosis of a sirolimus drug-eluting stent: Aorto-ostial involvement of the proximal right coronary artery

2006 ◽  
Vol 67 (3) ◽  
pp. 391-395 ◽  
Author(s):  
Robert J. Applegate ◽  
Teresa Draughn ◽  
William D. Yarbrough ◽  
William C. Little
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Drug Eluting Stent ◽  
Drug Eluting ◽  
Proximal Right Coronary Artery
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