Giant Left Circumflex Artery Aneurysm with Coronary Sinus Fistula

A giant circumflex coronary artery aneurysm with a fistula into the coronary sinus: case report.

Coronary artery fistulas are a rare clinical entity in cardiac anomalies, and in a significant portion of patients, the fistulas are accompanied by coronary aneurysm formation. In this article, we present a giant circumflex coronary artery aneurysm with a fistula into the coronary sinus.

Giant coronary artery aneurysm arising from the sinus node artery with a fistula into the left atrium.

Giant sinus node artery aneurysms with a fistula into the left atrium are extremely rare. A 76-year old woman was admitted to our hospital for an abnormality on her chest X-ray. Coronary computed tomography (CT) angiogram revealed a giant coronary aneurysm with feeding arteries arising from the sinus node artery and the left circumflex artery. Additionally, the aneurysm had a fistula into the l...

Left circumflex coronary artery aneurysm with arteriovenous fistula to the coronary sinus presenting as acute coronary syndrome.

Images in cardiovascular medicine. Giant left circumflex coronary artery aneurysm with arteriovenous fistula to the coronary sinus.

An 80-year-old woman with a history of breast cancer status post radiation therapy, paroxysmal atrial fibrillation, and congestive heart failure was referred to our institution for evaluation of a giant left circumflex (LCx) coronary artery aneurysm with fistulous communication to the coronary sinus. The patient initially presented with shortness of breath and non-ST elevation myocardial infarc...

Transcatheter Coil Embolization for Coronary Artery Fistula with Giant Aneurysm Originating from Left Circumflex Artery and Drainage to Right Ventricle

Coronary artery fistulae (CAF) represent the most frequent congenital anomalies influencing hemodynamic parameters of coronary arteries. However, CAF complicated with a huge aneurysm does not frequently occur. Determining the optimal management of symptomatic patients with CAF and aneurysm still remains a challenging problem, and has been traditionally considered as an indication for cardiac su...