Ruptured aneurysm of coronary artery-to-pulmonary artery fistula

A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematom...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2012-06, Vol.20 (3), p.324-326
Hauptverfasser:	Kazuno, Kei, Akasaka, Nobuyuki, Kiyokawa, Keiko, Sasajima, Tadahiro
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aneurysm, Ruptured - diagnosis Aneurysm, Ruptured - etiology Aneurysm, Ruptured - surgery Arterio-Arterial Fistula - complications Arterio-Arterial Fistula - diagnosis Arterio-Arterial Fistula - therapy Cardiac Surgical Procedures Cardiac Tamponade - etiology Coronary Aneurysm - diagnosis Coronary Aneurysm - etiology Coronary Aneurysm - surgery Coronary Angiography - methods Coronary Vessels Embolization, Therapeutic Female Hematoma - etiology Humans Pericardial Effusion - etiology Pulmonary Artery Tomography, X-Ray Computed Treatment Outcome Unconsciousness - etiology
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Beschreibung
Zusammenfassung:	A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematoma. The inflow and outflow of the fistula were closed, and no cardioplegic leakage was noted. Postoperative angiography showed residual fistulas that were successfully closed by transcatheter embolization.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/0218492311419794