Surgical Repair of Giant Coronary Artery Aneurysm Associated with Coronary-Pulmonary Artery Fistulae in a 73-Year-Old Woman

(Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Matsudo, Japan)

Koki Nakamura Yosuke Saito Tomohiro Asai
Mikiko Murakami Yuji Suda Hiroki Yamaguchi
A 73-year-old woman was referred to our hospital with a feeling of chest compression. Coronary angiography revealed a giant coronary artery aneurysm, located in the middle of a coronary-pulmonary artery fistula originating at the left anterior descending artery. Also another fistula was shown between the right coronary artery and the pulmonary artery. Surgical correction was indicated due to the risks of the aneurysm rupture and coronary events. Under cardiopulmonary bypass, suture-closure of the coronary artery aneurysm and ligation of the fistulae were carried out with success. Transesophageal echocardiography was useful to confirm disappearance of the abnormal shunts after the operative procedures. The postoperative course was uneventful. Postoperative coronary angiography showed no aneurysm or fistula. She was discharged on the 11th postoperative day on foot.
@Jpn. J. Cardiovasc. Surg. 36: 325-328 (2007)