Unusual Case of Giant Nonthrombosed Right Coronary Artery Pseudoaneurysm With Coronary Artery Fistula

Yoshito Ito; Satoshi Kainuma; Yasushi Yoshikawa; Koichi Toda; Shigeru Miyagawa; Hiroki Hata; Daisuke Yoshioka; Seiko Ide; Yoshiki Sawa

doi:10.1016/j.jaccas.2021.01.015

Unusual Case of Giant Nonthrombosed Right Coronary Artery Pseudoaneurysm With Coronary Artery Fistula

JACC Case Rep. 2021 Mar 10;3(5):806-810. doi: 10.1016/j.jaccas.2021.01.015. eCollection 2021 May.

Authors

Yoshito Ito¹, Satoshi Kainuma¹, Yasushi Yoshikawa¹, Koichi Toda¹, Shigeru Miyagawa¹, Hiroki Hata¹, Daisuke Yoshioka¹, Seiko Ide², Yoshiki Sawa¹

Affiliations

¹ Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
² Department of Cardiology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Abstract

Coronary artery aneurysm and pseudoaneurysm are rare and mainly result from atherosclerosis. We present a successfully treated case of a giant right coronary artery aneurysm and pseudoaneurysm with a coronary artery fistula, which might have developed after cardiac surgery for a right ventricular tumor 35 years earlier. (Level of Difficulty: Advanced.).

Keywords: CAF, coronary artery fistula; CT, computed tomography; RCA, right coronary artery; RV, right ventricle; SVG, saphenous vein graft; coronary artery aneurysm; coronary artery fistula; coronary artery pseudoaneurysm; right ventricular tumor; ruptured coronary aneurysm; three-dimensional computed tomography.

Publication types

Case Reports