Giant Right Coronary Artery Aneurysm With a Fistula to the Left Ventricle

Zheng, Jubing; Dong, Ran; Liu, Taoshuai; Li, Yang; Zhou, Qiwen

doi:10.1016/j.athoracsur.2012.06.028

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…Coronary-cameral fistulae commonly originate from the RCA (55%), the left anterior descending artery (35%), or both. The most commonly involved chamber is the right ventricle (41%), followed by the right atrium (26%), and the left atrium and ventricle (3%-5%) [8] . Constant high blood flow through coronary arteries may lead to aneurysmal dilatation of arterioluminal coronary-cameral fistulae.…”

Section: Discussionmentioning

confidence: 99%

Giant coronary artery fistula: A case report

Trang,

Cuong,

Cuong

et al. 2023

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Giant coronary artery fistula: A case report

Trang,

Cuong,

Cuong

et al. 2023

Radiology Case Reports

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“…The size of the fistulae ranged from 4 mm to 22 mm, and fistulae most commonly were located in the posterior and inferior walls of the left ventricle; the fistula in our case was located in the posterior wall of the left ventricle. Due to the slow blood flow in aneurysms, CAAs may be associated with thrombosis; accordingly, thrombosis was reported in four cases [Li 2005;Zheng 2012;Uzuka 2018]. Huge aneurysm can compress the heart and cause dysplasia, and this was observed with one case of right ventricular hypoplasia (RVH) [Zhu 2016], one case of noncompaction of the ventricular myocardium (NVCM) [Jiang 2014], and other various cardiac changes, including aortic dilatation, aortic valve insufficiency [Li 2005], and mitral regurgitation [Sarasa 2015].…”

Section: Discussionmentioning

confidence: 99%

“…This study reported a patient whose right coronary artery (RCA) was wholly dilated, and who underwent surgical management with good prognosis. Fifteen previously reported cases of giant right CAA associated with coronary fistulae also were reviewed [Shizukuda 1989;Nakamura 1998;Li 2005;Wei 2011;Zheng 2012;Jiang 2014;Sarasa 2015;Li 2015;Detorakis 2015;Zhu 2016;Li 2017;Uzuka 2018;].…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery–Left Ventricular Fistula with Giant Right Coronary Aneurysm: A Case Report and Literature Review

Diao

Shi

Liu

et al. 2021

HSF

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Right coronary artery–left ventricular (RCA–LV) fistula with associated giant right coronary artery aneurysm (CAA) is an extremely rare cardiac condition. This case study presents a patient with a large left ventricle (LV) and a giant right CAA with a maximal inner diameter of approximately 56.6 mm and an inner diameter of approximately 22 mm at its communication with the left ventricle. The patient underwent surgical management, involving suturing of the proximal end of the CAA and coronary artery bypass grafting (CABG). RCA–LV fistula with a giant right CAA may involve serious complications, such as thrombosis, rupture, and heart failure. Therefore, it is necessary to establish effective management strategies for this condition. Although this case is not unique, it serves as an illustrative example of the implementation of a classic surgical treatment method.

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“…Adult cases with successful surgical procedures have been reported. [ 7 8 9 ] Among these cases, surgical treatment was the most widely used strategy for symptomatic patients, and it was performed to prevent complications such as extension, rupture, thrombosis, and coronary embolization. [ 5 ] In the recent years, with improvements in techniques, devices, and delivery systems, transcatheter CCAF closure has been applied in suitable pediatric cases, and extensive experience has been gained.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Closure of Congenital Coronary Artery Fistulas with a Giant Coronary Artery Aneurysm in Children

Zhang

Wang

et al. 2017

Chinese Medical Journal

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Background:Transcatheter closure of congenital coronary artery fistulas (CCAFs) is an alternative therapy to surgery; however, data regarding transcatheter closure for CCAF with a giant coronary artery aneurysm (CAA) in pediatric patients are still limited due to the rarity of the disease. We aimed to evaluate the efficacy and safety of transcatheter closure for CCAF with a giant CAA in a pediatric population at a single center.Methods:Medical records of pediatric patients (<18 years old) who underwent transcatheter closure of CCAF with a giant CAA between April 2007 and September 2016 at Guangdong Cardiovascular Institute (Guangdong, China) were reviewed.Results:Twelve patients (median age, 6.1 years; range, 1.9–11.0 years) underwent successful transcatheter closure procedures. One patient underwent closure at both the entry and exit points of the CAA, three patients underwent closure at the exit point of the CAA, and eight patients underwent closure at the entry point of the CAA. After a mean follow-up of 7.2 years (range, 0.5–9.8 years), one patient (with closure at the exit point of the CAA) underwent transcatheter re-intervention because of a significant residual shunt. She eventually underwent a surgical procedure due to aneurysm dilation after the second intervention. One patient experienced thrombus formation within the CAA after the procedure. Among those with closure at the entry point of the CAA, a mild-to-moderate residual shunt was detected in three patients.Conclusions:Transcatheter closure appears to be a safe and effective alternative therapy for CCAF with a giant CAA in the pediatric population. Closure at the entry point of the CAA, and closure at both the entry and exit points when feasible, may reduce the risk of postinterventional complications.

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Giant Right Coronary Artery Aneurysm With a Fistula to the Left Ventricle

Cited by 5 publications

References 4 publications

Giant coronary artery fistula: A case report

Giant coronary artery fistula: A case report

Coronary Artery–Left Ventricular Fistula with Giant Right Coronary Aneurysm: A Case Report and Literature Review

Transcatheter Closure of Congenital Coronary Artery Fistulas with a Giant Coronary Artery Aneurysm in Children

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