Surgical Repair of Coronary Artery Fistulas with a Giant Coronary Artery Aneurysm Dilated from Valsalva Sinus

(Kyoto First Red Cross Hospital, Kyoto, Japan)

Nanae Nishiki Akiyuki Takahashi Masahiro Dohi
Taiji Watanabe Osamu Sakai Masamichi Nakajima
We report a case of a 64-year-old man who had a fistula from the right coronary artery to the right ventricle, with an asymptomatic giant coronary aneurysm. Multi-detector computer tomography showed an aneurysm from the sinus of Valsalva to the mid-right coronary artery(RCA). Its diameter was over 50mm. We performed aneurysmectomy direct closure of the fistula, and coronary artery bypass graft with saphenous vein graft cardiopulmonary bypass. The enlarged RCA orifice was closed with a vascular prosthesis, and the postoperative course was uneventful.
  Jpn. J. Cardiovasc. Surg. 40:58-61(2011)

Keywords:coronary artery fistula, giant coronary artery aneurysm, sinus of Valsalva