Key result
Surgical treatment involving closure of the aneurysm fistulas and aortic valve replacement resulted in uneventful recovery and complete disappearance of subjective symptoms.
Case Report (n=1)
Surgical closure of the fistula and aneurysm combined with aortic valve replacement is an effective treatment for a rare giant left main coronary artery aneurysm with fistulous communication to the right atrium and aortic regurgitation.
Rare coronary aneurysm-fistula cases warrant multimodality imaging; leaves open standardized management guidelines.
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.
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Zhu et al. (2015) conducted a case report in Giant aneurysm of the left main coronary artery with fistulous communication to the right atrium (n=1). Surgical repair and aortic valve replacement was evaluated on Patient recovery and symptom resolution. Surgical treatment involving closure of the aneurysm fistulas and aortic valve replacement resulted in uneventful recovery and complete disappearance of subjective symptoms.
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