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Published in: Heart and Vessels 4/2013

01-07-2013 | Case Report

Cardiac tamponade due to rupture of coronary artery fistula to the coronary sinus with giant aneurysm of coronary artery: usefulness of transthoracic echocardiography

Authors: Satoshi Yoshino, Shinichi Minagoe, Bo Yu, Ippei Kosedo, Makoto Yamashita, Munesumi Ishizawa, Mihoko Kono, Manabu Setoguchi, Hitoshi Nakashima, Tatsuru Matsuoka, Shoichi Suehiro, Goichi Yotsumoto, Masafumi Yamashita, Chuwa Tei

Published in: Heart and Vessels | Issue 4/2013

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Abstract

A 68-year-old woman was admitted to our hospital because of back pain and syncope. Transthoracic echocardiography revealed pericardial effusion, a collapsed right ventricle, a giant aneurysm connected to the coronary sinus, a dilated left main trunk coronary artery, and a dilated left circumflex artery (LCx). Furthermore, there was a coronary artery fistula arising from the LCx that drained into the coronary sinus. We diagnosed cardiac tamponade due to rupture of the coronary artery fistula or giant aneurysm, and successful emergency surgery was performed. Rupture of coronary artery aneurysm or coronary artery fistula is very rare. Transthoracic two-dimensional echocardiography was very useful in our case for the diagnosis of cardiac tamponade, giant coronary aneurysm, and coronary artery fistula.
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Metadata
Title
Cardiac tamponade due to rupture of coronary artery fistula to the coronary sinus with giant aneurysm of coronary artery: usefulness of transthoracic echocardiography
Authors
Satoshi Yoshino
Shinichi Minagoe
Bo Yu
Ippei Kosedo
Makoto Yamashita
Munesumi Ishizawa
Mihoko Kono
Manabu Setoguchi
Hitoshi Nakashima
Tatsuru Matsuoka
Shoichi Suehiro
Goichi Yotsumoto
Masafumi Yamashita
Chuwa Tei
Publication date
01-07-2013
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 4/2013
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-012-0279-9

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