Surgical repair was successfully performed in a 70-year-old woman with a symptomatic coronary artery aneurysm associated with a coronary artery fistula draining into the pulmonary artery.
Case Report (n=1)
Surgical treatment is a viable option for symptomatic patients presenting with the rare combination of a coronary artery aneurysm and a coronary artery fistula.
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.
Špunda et al. (Fri,) conducted a case report in Coronary artery aneurysm associated with a coronary artery fistula (n=1). Surgical repair was evaluated. Surgical repair was successfully performed in a 70-year-old woman with a symptomatic coronary artery aneurysm associated with a coronary artery fistula draining into the pulmonary artery.