Giant right coronary artery aneurysm with vena cava superior fistula: a case report and radiological findings
نویسندگان
چکیده
Abstract Background Giant coronary artery aneurysms (GCAA) are a rare disease entity with an estimated incidence of 0.02%. Atherosclerosis is the most common underlying factor in adulthood. Management guidelines lack support large-scale studies. Case presentation We present case 58-year-old Caucasian male complaints stable dyspnea who was found to have GCAA right (RCA). Further evaluation revealed aneurysm 5.0 cm diameter tortuous course, fistulation distal vena cava superior, and mass effect on left atrium. Surgical deroofing ligation venous bypassing were performed. There no postoperative complications. Cardiac function had improved at 1-month follow-up remained 1-year follow-up. Conclusions Diagnosis treatment strategy concerning remain challenging. advised cases giant aneurysms, multivessel disease, main (LMCA) involvement, mechanical complications (fistula, compression, or rupture), concomitant valve surgery. Coronary angiography remains gold standard for evaluation. However, computed tomography (CCTA) cardiac magnetic resonance imaging (CMR) can add important value clinician assess myocardial viability planning surgical intervention.
منابع مشابه
Congenital Aortocaval Fistula from Right Subclavian Artery to Superior Vena Cava in an Adult with Tetralogy of Fallot
Congenital aortocaval fistula in association with complex congenital heart disease has never been described before. We represent an adult with tetralogy of fallot and an undiagnosed subclavian artery to superior vena cava fistula in previous catheterisms. He underwent surgical correction, successfully. After 8 months post operation he was doing well with improved functional capacity and no ...
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RATIONALE Coronary artery fistula (CAF) is characterized by an abnormal communication of a coronary artery with a cardiac chamber or a great vessel bypassing the capillary bed. Surgical closure of large or symptomatic CAF is the gold standard treatment. However the previously closed CAF still has the possibility to reopen. Superior vena cava syndrome (SVCS) is defined as a condition that occurs...
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ژورنال
عنوان ژورنال: The Cardiothoracic Surgeon
سال: 2022
ISSN: ['2662-2203']
DOI: https://doi.org/10.1186/s43057-022-00081-8