Surgical Repair of Coronary Artery Fistulas with a Giant Coronary Artery Aneurysm Dilated from Valsalva Sinus
10.4326/jjcvs.40.58
- VernacularTitle:バルサルバ洞より瘤状変化をきたした巨大冠動脈瘤を伴う右冠動脈右室瘻の1手術例
- Author:
Nanae Nishiki
;
Akiyuki Takahashi
;
Masahiro Dohi
;
Taiji Watanabe
;
Osamu Sakai
;
Masamichi Nakajima
- Publication Type:Journal Article
- Keywords:
coronary artery fistula;
giant coronary artery aneurysm;
sinus of Valsalva
- From:Japanese Journal of Cardiovascular Surgery
2011;40(2):58-61
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of a 64-year-old man who had a fistula from the right coronary artery to the right ventricle, with an asymptomatic giant coronary aneurysm. Multi-detector computer tomography showed an aneurysm from the sinus of Valsalva to the mid-right coronary artery (RCA). Its diameter was over 50 mm. We performed aneurysmectomy direct closure of the fistula, and coronary artery bypass graft with saphenous vein graft cardiopulmonary bypass. The enlarged RCA orifice was closed with a vascular prosthesis, and the postoperative course was uneventful.
