Successful Operation for Multiple Giant Aneurysms with Congenital Coronary Artery Fistula in an Adult

(Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, Osaka, Japan)

Tomoyasu Sasaki Shintaro Nemoto Eiki Woo
Kan Hamori Masahiro Daimon Shigetoshi Mieno
Hideki Ozawa Keiichiro Kondo Takahiro Katsumata
We report a case of successful operation for multiple giant aneurysms with a right coronary artery fistula from the right coronary artery to the left atrium. A 35-years-old woman was found to have a right coronary artery aneurysm with a maximum diameter of 85mm, and two other coronary artery aneurysms with maximum diameters of 40 mm along the coronary fistula, which arose from the proximal right coronary artery, traversed the root of the left atrium, and drained into the left atrium. Surgical treatment was indicated to relieve symptoms and to prevent possible rupture of the aneurysms. She underwent resection of coronary artery aneurysms, closure of orifices of the fistula and coronary bypass grafting to the right coronary artery with cardiopulmonary bypass. Her postoperative course was uneventful, and she was discharged in good condition.
@Jpn. J. Cardiovasc. Surg. 37: 164-166 (2008)