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Surgery of a Giant Coronary Sinus Aneurysm Resulting from a Coronary Artery Fistula. | LitMetric

Surgery of a Giant Coronary Sinus Aneurysm Resulting from a Coronary Artery Fistula.

Thorac Cardiovasc Surg Rep

Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Switzerland.

Published: January 2023

AI Article Synopsis

  • Coronary artery fistula (CAF) can sometimes lead to rare complications, including an aneurysm in the coronary sinus (CS).
  • A case is presented involving a 60-year-old woman who had a large CS aneurysm caused by a fistula from the right coronary artery (RCA), which caused significant breathing issues due to pressure on the heart.
  • The treatment involved surgically closing the fistula and reconstructing the CS using a patch made from the pericardium.

Article Abstract

Coronary artery fistula (CAF), complicated by the aneurysmal formation of the coronary sinus (CS), is a very rare form of CAF. Here we report a case of a 60- year-old woman with a giant aneurysm of the CS resulting from the right coronary artery (RCA) fistula. The patient was highly symptomatic with dyspnea due to compression of cardiac chambers. CS reconstruction was performed using a pericardial patch after directly closing the fistula from the RCA to the CS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9966173PMC
http://dx.doi.org/10.1055/s-0043-1760751DOI Listing

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