Giant right coronary artery aneurysm with fistula into the right atrium

Omair, Mohammad; Roubos, Nicholas; Johns, Jennifer; Srivastava, Piyush

doi:10.1136/bcr-2019-231666

Cited by 1 publication

(1 citation statement)

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“…It is generally believed that the presence of symptoms is surgical indication 12 . Surgical procedures include aneurysm ligation, resection, coronary bypass arterial graft, etc, 13,14 Here the giant CAA caused mitral obstruction and the new‐born developed atrial tachycardia, new‐born therapy was performed following delivery. In consideration of the disorder of blood vessels in the base of CAA, surgical resection may cause complications such as massive hemorrhage, so blood was extracted from the aneurysm to relieve mitral obstruction, aneurysm ligation was performed.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of a right coronary artery to right atrial fistula with a giant coronary artery aneurysm: A case report

Cui

Liang

Fan

et al. 2020

J of Clinical Ultrasound

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Coronary artery fistula (CAF) is a rare cardiac anomaly. Here, we diagnosed a right coronary artery‐right atrium fistula with giant coronary artery aneurysm (CAA) via fetal echocardiography at 35 weeks' gestation. An urgent caesarean delivery was performed at 36 weeks' gestation because CAA caused mitral obstruction, and fetal atrial flutter was present. Following delivery, we performed aneurysm ligation because the new‐born developed atrial tachycardia. The intraoperative findings confirmed the sonographic findings. To the best of our knowledge, prenatal ultrasound diagnosis of CAF and giant CAA has not been reported in the literature. We focus on the ultrasonic characteristics and differential diagnosis in this literature.

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Section: Discussionmentioning

confidence: 99%