AI Article Synopsis
- A 68-year-old woman was hospitalized due to back pain and fainting, revealing multiple heart issues through transthoracic echocardiography.
- She was diagnosed with cardiac tamponade caused by a rupture of either a coronary artery fistula or a giant aneurysm.
- Successful emergency surgery was performed, highlighting the rare nature of her condition and the effectiveness of echocardiography in diagnosing these complications.
Article Abstract
A 68-year-old woman was admitted to our hospital because of back pain and syncope. Transthoracic echocardiography revealed pericardial effusion, a collapsed right ventricle, a giant aneurysm connected to the coronary sinus, a dilated left main trunk coronary artery, and a dilated left circumflex artery (LCx). Furthermore, there was a coronary artery fistula arising from the LCx that drained into the coronary sinus. We diagnosed cardiac tamponade due to rupture of the coronary artery fistula or giant aneurysm, and successful emergency surgery was performed. Rupture of coronary artery aneurysm or coronary artery fistula is very rare. Transthoracic two-dimensional echocardiography was very useful in our case for the diagnosis of cardiac tamponade, giant coronary aneurysm, and coronary artery fistula.
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| http://dx.doi.org/10.1007/s00380-012-0279-9 | DOI Listing |
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