Large Aneurysmal Rupture of Coronary-Pulmonary Artery Fistula After Buffalo Goring

Pongbangli, Natnicha; Jai-aue, Sasivimon; Ketwong, Metus; Doikean, Sukit; Wongcharoen, Wanwarang; Phrommintikul, Arintaya

doi:10.12659/ajcr.918838

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…The rupture of the CPAF, which is typically detected incidentally, is also spontaneous. In one study, rupture and cardiac tamponade developed as a result of blunt chest trauma [ 17 ]. In CPAFs, most patients are asymptomatic and do not require special treatment.…”

Section: Discussionmentioning

confidence: 99%

Giant Coronary-Pulmonary Artery Fistula Incidentally Detected in a Patient Presenting With Acute Inferior Myocardial Infarction

Ozenbas,

Sukun

2024

Cureus

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Coronary artery fistulas are abnormal connections between the coronary arteries and the heart or other surrounding vascular structures. Although they are usually congenital, they can also occur iatrogenically or due to trauma. They are usually asymptomatic, but they can cause serious and even fatal complications. These complications include myocardial infarction, embolism, thrombosis, arrhythmia, and rupture. In a 54-year-old woman admitted to the emergency department with an acute inferior myocardial infarction, a giant coronary-pulmonary artery fistula was detected on angiography. The fistula could not be closed percutaneously, and computed tomography angiography (CTA) revealed extensive aneurysms and diffuse calcifications. Large fistulas should be closed due to the risk of rupture. Small fistulas should be detected by CTA, and radiologists should be familiar with the imaging features.

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Section: Discussionmentioning

confidence: 99%

Giant Coronary-Pulmonary Artery Fistula Incidentally Detected in a Patient Presenting With Acute Inferior Myocardial Infarction

Ozenbas,

Sukun

2024

Cureus

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“… 4 The chances of rupture increase if the size of the aneurysm exceeds 30 mm. 4 , 9 In addition, the female gender, a saccular shape, and Asian ethnicity are risk factors for aneurysm rupture. 9 …”

Section: Discussionmentioning

confidence: 99%

“… 4 , 9 In addition, the female gender, a saccular shape, and Asian ethnicity are risk factors for aneurysm rupture. 9 …”

Section: Discussionmentioning

confidence: 99%

Giant Sinoatrial Nodal Artery Aneurysm with Fistula into the Right Atrium Treated by Partial Resection and Plication: A Case Report

Kumari,

Rahman,

Jan

et al. 2023

JTHC

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Coronary artery aneurysms (CAAs) occur when an artery dilates 1.5 times the reference vessel. They occur most commonly because of atherosclerosis. CAAs are a rare phenomenon, and it is even rarer to find a giant CAA, which is roughly defined as a size 400% above the reference vessel. Giant CAAs are commonly found in the right coronary artery. The sinoatrial nodal artery (SNA) is among the least common sites for CAA involvement. Sometimes, communication exists between the aneurysm and a chamber of the heart or a great vessel. The consequences of the fistula depend on its size. Because of the rarity of the condition, guidelines are not well developed. However, small CAAs can be managed conservatively, whereas giant CAAs require resection, ligation, and bypass grafting. CAAs have a predilection for males and the elderly. We describe a 40-year-old South Asian woman presenting with mild dyspnea on exertion of 1 year’s duration. Echocardiography showed a 60×60 mm cystic sac, subsequently confirmed by computerized tomography, which showed 3 large aneurysms (70×61 mm) and 3 small aneurysms in the SNA. Coronary angiography illustrated that the SNA branched off the left main coronary artery, and the aneurysm communicated with the right coronary artery. The aneurysm was partially resected and plicated.

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“…Notably, the incidence of coronary aneurysmal dilatation CPAF patients is around 15-35% [4,6,8]. CPAF with a ruptured coronary aneurysm carries significant mortalities through triggering medical emergencies such as cardiac tamponade or mediastinal hemorrhage [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Congenital coronary artery-to-pulmonary fistula with giant aneurysmal dilatation and thrombus formation: a case report and review of literature

Guo

Dong

et al. 2021

BMC Cardiovasc Disord

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Background Coronary artery-to-pulmonary artery fistula is a rare disorder characterized by abnormal vascular communication between the coronary artery and pulmonary artery. While most patients remain asymptomatic, some might exhibit symptoms of myocardial ischemia, congestive heart failure, or even sudden cardiac death if coronary aneurysm, thrombosis, infective carditis, or other congenital cardiac defects coexist. Case presentation We present a 66-year-old male complaining of angina pectoris with a history of hypertension and active smoking. He was diagnosed with a coronary aneurysm based on coronary computed tomography angiography. We subsequently identified a coronary artery-to-pulmonary artery fistula with giant aneurysmal dilation on coronary angiography. Ultimately we conducted surgery ligation and aneurysmorrhaphy. During surgery, we discovered newly formed thrombus within the aneurysmal cavity. Histological analysis of the aneurysmal wall supported the diagnosis of the congenital disorder. Our patient was successfully discharged and remained asymptomatic at two months of follow-up. Conclusion We presented a rare and complex combination of congenital coronary artery-to pulmonary artery fistula, giant coronary aneurysmal dilatation, and thrombosis through multi-modality evaluations.

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Large Aneurysmal Rupture of Coronary-Pulmonary Artery Fistula After Buffalo Goring

Cited by 3 publications

References 14 publications

Giant Coronary-Pulmonary Artery Fistula Incidentally Detected in a Patient Presenting With Acute Inferior Myocardial Infarction

Giant Coronary-Pulmonary Artery Fistula Incidentally Detected in a Patient Presenting With Acute Inferior Myocardial Infarction

Giant Sinoatrial Nodal Artery Aneurysm with Fistula into the Right Atrium Treated by Partial Resection and Plication: A Case Report

Congenital coronary artery-to-pulmonary fistula with giant aneurysmal dilatation and thrombus formation: a case report and review of literature

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