Tiny ruptured coronary aneurysm with coronary-pulmonary arterial fistula

A 44-year-old man was admitted to our hospital with chest pain. We diagnosed him with pericardial effusion collection because of a spontaneous ruptured coronary aneurysm of 1.5 cm with coronary pulmonary arterial fistula (CPAF) by enhanced computed tomography and angiography. We completely resected...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2019-12, Vol.67 (12), p.1084-1086
Main Authors: Sakamoto, Shunsuke, Kanemitsu, Shinji, Shimpo, Hideto, Kurita, Tairo
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - surgery
Aneurysms
Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - diagnosis
Arterio-Arterial Fistula - diagnostic imaging
Arterio-Arterial Fistula - surgery
Atherosclerosis
Cardiac Surgery
Cardiology
Case Report
Congenital diseases
Coronary Aneurysm - complications
Coronary Aneurysm - diagnosis
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - surgery
Coronary Angiography
Coronary vessels
Diagnosis, Differential
Emergency medical care
Fistula
Humans
Male
Medical imaging
Medicine
Medicine & Public Health
Patients
Pericardial Effusion - etiology
Pulmonary arteries
Surgical Oncology
Thoracic Surgery
Tomography
Tomography, X-Ray Computed
Veins & arteries
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Description
Summary:A 44-year-old man was admitted to our hospital with chest pain. We diagnosed him with pericardial effusion collection because of a spontaneous ruptured coronary aneurysm of 1.5 cm with coronary pulmonary arterial fistula (CPAF) by enhanced computed tomography and angiography. We completely resected the ruptured aneurysm and safely closed the CPAF. Rupture of coronary aneurysms with CPAF is rare, especially tiny aneurysms. In previous reports, most cases were older women and the diameter of the ruptured aneurysms was greater than 3.0 cm. We report a case of a middle-aged man with a tiny ruptured coronary aneurysm with CPAF.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-018-0995-x