Presentation and Management of a Giant Coronary Artery Aneurysm with a Fistula to the Right Ventricle

Abstract

A 27-year-old female presented to our emergency department in ventricular tachycardia. During her workup, she was found to have an extremely rare giant aneurysmal left anterior descending artery (LAD) ending in a coronary fistula to the right ventricle (RV). After stabilization, a variety of treatment options were considered, as there is no standard first-line treatment.

A successful surgical management for a thrombosed giant left coronary aneurysm with right ventricular fistula in a young patient

“…The overall prevalence of giant coronary aneurysm in the population is 0.02-0.2%. 3 A giant coronary aneurysm with ventricular fistula is even rarer. Due to the limited data from randomised clinical trials, therapeutic strategies for coronary aneurysms predominantly rely on case series and anecdotal evidences.…”