A Case of Ruptured Coronary Artery Aneurysm with Coronary Artery to Pulmonary Artery Fistula and Review of 23 Cases
10.4326/jjcvs.45.80
- VernacularTitle:超高齢者の冠動脈肺動脈瘻に併発した冠動脈瘤破裂の1手術例
- Author:
Hirohito Ishii
;
Kunihide Nakamura
;
Eisaku Nakamura
;
Jogi Endo
;
Masanori Nishimura
;
Yukie Shirasaki
;
Kousuke Mori
- Publication Type:Journal Article
- Keywords:
ruptured coronary artery aneurysm;
coronary artery to pulmonary artery fistula
- From:Japanese Journal of Cardiovascular Surgery
2016;45(2):80-83
- CountryJapan
- Language:Japanese
-
Abstract:
We describe a case of ruptured coronary artery aneurysm with a coronary artery to a pulmonary artery fistula. An 89-year-old woman with general fatigue and dyspnea was admitted. At the visit she went into shock and was restored by rehydration therapy. Enhanced computed tomography shows a coronary aneurysm (maximum diameter of 50 mm) at the left side of pulmonary artery and mild pericardial effusions. She was scheduled for an emergency operation due to the ruptured coronary artery aneurysm with a coronary artery to pulmonary artery fistula. We performed aneurysmectomy and ligation of the coronary artery to the pulmonary artery fistula under cardiopulmonary bypass. We also reviewed 23 cases of ruptured coronary artery aneurysm with coronary artery extending to a pulmonary artery fistula in Japan. The disease is a rare clinical state and regarded as an indication for emergency surgery.
