Surgical repair of a coronary artery aneurysm associated with coronary artery fistula - a case report

被引:1
作者
Spunda, Rudolf [1 ,2 ]
Horak, Jan [3 ]
Tomasov, Pavol [3 ]
Lambert, Lukas [2 ,4 ]
Spacek, Miroslav [1 ,2 ]
Slautin, Andrey [1 ,2 ]
Prskavec, Tomas [1 ,2 ]
Lindner, Jaroslav [1 ,2 ]
机构
[1] Charles Univ Prague, Fac Med 1, Dept Cardiovasc Surg, Dept Surg 2, U Nemocnice 2, Prague 12808 2, Czech Republic
[2] Gen Univ Hosp Prague, U Nemocnice 2, Prague 12808 2, Czech Republic
[3] Liberec Hosp, Cardiovasc Ctr, Dept Cardiol, Liberec, Czech Republic
[4] Charles Univ Prague, Fac Med 1, Dept Radiol, Prague, Czech Republic
关键词
Coronary artery aneurysm; fistula; computed tomography angiography; pulmonary artery; chest pain; thrombus;
D O I
10.1177/03000605211053228
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Coronary artery aneurysm is a relatively rare disorder that is usually discovered as a secondary finding in patients undergoing coronary artery angiography. Coronary artery fistulas are relatively more frequent than rare aneurysms and are often associated with other cardiac abnormalities. The etiology of aneurysms is mostly atherosclerotic, and they are less frequently associated with other acquired or congenital diseases, such as Kawasaki disease, connective tissue diseases, septic emboli, arteritis, and iatrogenic disease. We report a 70-year-old woman with a rare combination of a coronary artery aneurysm associated with a coronary artery fistula, which drained into the pulmonary artery. The diagnosis of our patient was made by selective coronary angiography and confirmed by computed tomography angiography. The patient was treated surgically because of the symptomatic course of the disease.
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页数:5
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