Congenital aneurysm of the coronary artery with an arteriovenous fistula

Rapidly Evolving Coronary Aneurysm in a Patient with Rheumatoid Arthritis

“…The first pathologic description of a CAA was made by Morgagni in 1761 [1]. Munker and colleagues diagnosed this by angiography in 1958 [2]. The wide range in the reported incidence (0.15% to 4.9%) is attributed to the conceptual differences in the definition of coronary ectasia and aneurysm [1, 2].…”

“…Munker and colleagues diagnosed this by angiography in 1958 [2]. The wide range in the reported incidence (0.15% to 4.9%) is attributed to the conceptual differences in the definition of coronary ectasia and aneurysm [1, 2]. CAA is defined as a segmental dilatation of the vessel, with a diameter ≥1.5 times (some authors have defined it as ≥2 times) of an adjacent normal section.…”

Aneurysm of the main stem of the left coronary artery associated with aortic insufficiency and aneurysm of the ascending aorta. Report of a case with successful surgical repair.

“…Congenital aneurysms (Seabra-Gomes et al, 1974), when present, are usually located on the right coronary artery (Frithz et al, 1968) and most have been associated with arteriovenous fistulae (Munkner et al, 1958;Seabra-Gomes et al, 1974). Traumatic (Konecke et al, 1971) and mycotic (Crook et al, 1973;Toussaint et al, 1976) aneurysms are much more unusual.…”

“…It was not until 1958 that Munkner et al (1958) diagnosed this uncommon condition in a living patient. Kaufman et al (1970) and Ebert et al (1971) reported the first two instances of surgical repair.…”

Coronary Arterio-venous Fistulae

“…Retrograde aortography was used in the other six successful investigations (Neufeld, Lester, Adams, Anderson, Lillehei, and Edwards, 1961, cases 1-3 ;Munkner, Petersen, and Vesterdal, 1958;Bosher et al, 1959;and Gasul et al, 1960, case 4). In retrospect retrograde aortography was regarded as diagnostic in case 3 of Gasul et al although it was misinterpreted prior to thoracotomy.…”