Ruptured aneurysm of coronary artery-to-pulmonary artery fistula

A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematom...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2012-06, Vol.20 (3), p.324-326
Main Authors: Kazuno, Kei, Akasaka, Nobuyuki, Kiyokawa, Keiko, Sasajima, Tadahiro
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - etiology
Aneurysm, Ruptured - surgery
Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - diagnosis
Arterio-Arterial Fistula - therapy
Cardiac Surgical Procedures
Cardiac Tamponade - etiology
Coronary Aneurysm - diagnosis
Coronary Aneurysm - etiology
Coronary Aneurysm - surgery
Coronary Angiography - methods
Coronary Vessels
Embolization, Therapeutic
Female
Hematoma - etiology
Humans
Pericardial Effusion - etiology
Pulmonary Artery
Tomography, X-Ray Computed
Treatment Outcome
Unconsciousness - etiology
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Summary:A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematoma. The inflow and outflow of the fistula were closed, and no cardioplegic leakage was noted. Postoperative angiography showed residual fistulas that were successfully closed by transcatheter embolization.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492311419794