Surgery of giant right coronary artery aneurysm complicated with coronary artery fistula to left ventricle

Uzuka, Takeshi; Nakamura, Masanori; Nakajima, Tomohiro; Watanabe, Noriyasu; Fukazawa, Yugo

doi:10.1111/jocs.13525

Cited by 15 publications

(17 citation statements)

References 6 publications

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“…So, we performed a complete resection of rCAA and CABG. Most of the other case reports used cardiopulmonary bypass during surgery for CAA . In contrast, we did not use the cardiopulmonary bypass to avoid oozing of blood caused by full heparinization.…”

Section: Discussionmentioning

confidence: 99%

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Surgical resection of the giant right coronary artery aneurysm

et al. 2019

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A 74‐year‐old man had undergone two‐vessel coronary artery bypass grafting (CABG), 19 years ago, with the left internal mammary artery (LITA) to the left anterior descending artery and the saphenous vein graft (SVG) to the posterior descending artery. In outpatient care, a thoracic aortic aneurysm was suspected by the chest X‐ray. In the computed tomography, appeared the distal arch aortic aneurysm, abdominal aortic aneurysm (AAA), and giant right coronary artery aneurysm (rCAA). The diameter of rCAA was 70 mm and it oppressed the right atrium and ventricle of the heart. The patient was referred to our hospital. After the initial treatment of distal arch aneurysm and AAA, surgical treatment for the rCAA was performed. The rCAA was resected completely and CABG with new SVG was performed without cardiopulmonary bypass. The histopathology of rCAA wall revealed that the etiology was an atherosclerotic change. The postoperative course was good, the oppressed right heart system was released and the hemodynamics of the tricuspid valve showed improvement.

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Section: Discussionmentioning

confidence: 99%

“…Most of the other case reports used cardiopulmonary bypass during surgery for CAA. 7,[10][11][12][13] In contrast, we did not use the cardiopulmonary bypass to avoid oozing of blood caused by full heparinization. We also performed the resection of rCAA without opening the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of the giant right coronary artery aneurysm

et al. 2019

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“…Coronary artery aneurysms (CAA) involve all the major coronary arteries, including the left main coronary artery (LMCA), and may be congenital, acquired, or the result of inflammatory diseases such as Kawasaki disease . They may present as a pericardial mass, cardiac tamponade, or with angina, and may develop fistulas to the left ventricle and the pulmonary artery . In some instances, the aneurysms may be multiple with multiple fistulas .…”

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confidence: 99%

Sinus node artery aneurysm arising from the left main coronary artery with a fistula into the right atrium

et al. 2018

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“…[1][2][3][4] In addition to rupture, CAAs may also fistulize to other structures including the PA 5,6 and left ventricle. 7 Although percutaneous coils have been used to occlude coronary artery fistulas (CAF), 8 surgery remains the definitive therapy for CAF associated with CAAs. We present images of a patient who underwent surgical repair of both a LMCA aneurysm with a fistula to the right atrium (RA) and a right coronary artery (RCA) fistula to the LMCA following an unsuccessful percutaneous coil embolization.…”

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confidence: 99%