Giant Coronary Aneurysm with Coronary-Pulmonary Artery Fistula in a Jehovah's Witness.
Aina HirofujiAzusa FurugenTakeshi KamadaKenji YamazakiHiroyuki KamiyaHirosato DoiPublished in: The Thoracic and cardiovascular surgeon reports (2023)
With an incidence of 3 in 100 million, giant coronary artery aneurysm (CAA) with coronary artery fistula (CAF) is a very rare condition. To prevent rupture, giant CAA with CAF should be swiftly treated. We present a Jehovah's Witness patient with giant CAA and coronary-pulmonary artery fistula. We resected the giant CAA in one piece, while ligating the CAF, without allogeneic blood transfusion. Due to rarity of these conditions, many thoracic surgeons lack direct experience in its surgical procedures. Herein, we share footage of this surgery as an example of how to safely resect CAA with minimal bleeding.
Keyphrases
- coronary artery
- pulmonary artery
- rare case
- minimally invasive
- stem cell transplantation
- pulmonary arterial hypertension
- risk factors
- pulmonary hypertension
- coronary artery disease
- case report
- lymph node
- quality improvement
- low dose
- heart failure
- coronary artery bypass
- left ventricular
- percutaneous coronary intervention