Surgical treatment of coronary artery aneurysm with rupture into the right atrium

Aorta-right atrial tunnel

“…A continuous murmur was best heard at the right upper sternal border in 7 patients, including ours, and the left infraclavicular area in 1 patient. [1][2][3] The differential diagnosis of an aorta-right atrial tunnel can include the possibility of a ruptured aneurysm of the sinus of Valsalva or the RCA, 4 which can become more confounding when the tunnel presents aneurysmal dilatation. Although the tunnel could be readily identified by means of 2-dimensional echocardiography and retrograde aortography combined with selective coronary angiography, 2 2-dimensional echocardiography revealed a suspicious interatrial septal defect, and selective coronary angiography did not show the RCA and its orifice in our patient.…”

Aneurysms of the left main coronary artery: A report of three cases and review of the literature

“…Gray and McMartin [32] have reported another similar case of calcified giant pseudoaneurysm involving the RCA, which was repaired surgically. There was no associated atherosclerosis of the coronary arteries.…”

A case of aorto‐right atrial tunnel associated with aortic and tricuspid atresia

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Key wordsaorto-right atrial tunnel, aorto-right atrial communication, tricuspid atresia.Aorto-right atrial communication is an uncommon heart defect, and this malformation could be generally caused from ruptured aneurysm of sinus Valsalva, ruptured dissecting aneurysm of the ascending aorta, and coronary artery fistula. [1][2][3][4] Here, we report on a distinctly unique case of aorto-right atrial shunt that is associated with aortic atresia, tricuspid atresia, ventricular septal defect, atrial septal defect, and persistent ductus arteriosus.

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“…Aorto‐right atrial communication is an uncommon heart defect, and this malformation could be generally caused from ruptured aneurysm of sinus Valsalva, ruptured dissecting aneurysm of the ascending aorta, and coronary artery fistula 1–4 .…”