Ruptured Coronary Aneurysm with a Congenital Coronary Arteriovenous Fistula
10.4326/jjcvs.44.198
- VernacularTitle:冠動静脈瘻を伴う冠動脈瘤破裂の1手術例
- Author:
Sachiko Kanki
;
Mari Kakita
;
Eiki Woo
;
Tomoyasu Sasaki
;
Masahiro Daimon
;
Takahiro Katsumata
- Publication Type:Journal Article
- Keywords:
coronary aneurysm;
congenital coronary arteriovenous fistula;
cardiac tamponade
- From:Japanese Journal of Cardiovascular Surgery
2015;44(4):198-202
- CountryJapan
- Language:Japanese
-
Abstract:
An 83-year-old man was transferred to our hospital with cardiac tamponade and suspected cardiac tumor detected by enhanced CT. Coronary angiography showed a coronary aneurysm of 50 mm ID on the left circumflex artery. An emergency surgery was performed to excise the aneurysm, and a fresh thrombus occupying the efferent artery was observed. Both the afferent and efferent vessels were closed by suture. The patient made an otherwise uneventful recovery. This case featured a fresh red thrombus formed in fistulous outflow of the coronary aneurysm that seemed a direct cause of rupture.
