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.

Introduction. Coronary artery aneurysms are rare disorders, especially left main coronary aneurysm. In literature there number of reported cases with aneurysms, various localization, size, clinical presentation and way treatment. There is no unique consensus about the most adequate treatment in these patients; surgery still preferable, although some new experiences percutaneous The decision mad...

Coronary artery aneurysm is a rare congenital or vascular inflammation-based anomaly for which the clinical course and optimal timing of treatment remain unclear. Here, we report a case of sudden death caused by a giant coronary artery aneurysm of the left anterior descending artery that presented with chest pain. This case suggests that urgent interventional or surgical repair is needed when a...

We present the case of successful resection of a giant aneurysm of the LAD presenting with recurrent severe haemoptysis in a 72-year old man. He was admitted to a regional hospital with fever, recurrent bloody sputum, weight loss and left sided chest pain, and developed respiratory failure requiring ventilation. Investigations are summarised and reviewed and the diagnosis was eventually reached...

Congenital coronary artery fistula (CAF) with huge coronary artery aneurysm is a very rare condition. In this paper, we describe a 26-year-old asymptomatic male patient with right coronary artery (RCA) to the left ventricle fistula with a huge coronary artery aneurysm which was diagnosed by multidetector computed tomography and coronary angiography. The patient received surgical treatment for c...

We report a six-month-old febrile infant presenting with stridor. Later on, he developed typical Kawasaki disease with giant aneurysm of the coronary artery with thrombosis that resolved with an aggressive anticoagulation therapy. The giant aneurysm still persisted a year later. Respiratory illness with stridor is an unusual presentation of Kawasaki disease.

We report the case of a 42-year-old female referred to our institution for an incidental diagnosis of an aortic aneurysm. Multislice 64-CT angiography showed a giant aneurysm of the Valsalva sinus, which extended to all three coronary arteries, and multiple aneurysms along the entire length of the coronaryarteries (Panels A–C ). The Valsalva sinus aneurysm was eccentric, more pronounced near th...

Fig. 1. (A) CT scan image. CT scan shows giant non-coronary sinus of Valsalva aneurysm with neighbouring structures. Arrows indicate closed aortic valves. Ao: aorta, NC-SVA: non-coronary sinus of Valsalva aneurysm, LV: left ventricle, PA: pulmonary artery. (B) TEE image. Trans-oesophageal echocardiography shows aortic cusps level image of sinus of Valsalva aneurysm. *Arrows show aortic cusps, *...

Coronary artery aneurysm (CAA), defined as dilatation of the coronary artery exceeding 50% of the reference vessel diameter, is uncommon and occurs in 5% of coronary angiographic series.1 CAAs are termed giant if their diameter exceeds the reference vessel diameter by 4 times or if they are 8 mm in diameter.2 Atherosclerosis accounts for the vast majority of CAAs in adults, whereas Kawasaki dis...