A coronary aneurysm is a rare type of cardiovascular disease. We report a case of a 53-year-old male patient who presented to our hospital with a giant left circumflex coronary fistula aneurysm (LCCA) (75 mm × 70 mm). Since coronary angiography and coronary computed tomography angiography failed to detect the fistula of the coronary aneurysm, interventional occlusion surgery could not be performed. We discovered the fistula in the right atrium by anterograde perfusion with blood-containing myocardial protective fluid after switching to intraoperative exploration during cardiac surgery. The coronary aneurysm's fistula and inlet were then sutured, and the aneurysm was resected. The patient recovered successfully after the operation. This case was instructive in managing LCCA, especially with an unidentified fistula.
Keyphrases
- coronary artery
- pulmonary artery
- coronary artery disease
- cardiovascular disease
- cardiac surgery
- healthcare
- acute kidney injury
- heart failure
- case report
- type diabetes
- aortic stenosis
- magnetic resonance
- patients undergoing
- left ventricular
- pulmonary arterial hypertension
- cardiovascular events
- coronary artery bypass
- transcatheter aortic valve replacement
- rare case
- percutaneous coronary intervention
- adverse drug
- prognostic factors
- inferior vena cava