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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 12/2019

Open Access 01-12-2019 | Case Report

Tiny ruptured coronary aneurysm with coronary-pulmonary arterial fistula

Authors: Shunsuke Sakamoto, Shinji Kanemitsu, Hideto Shimpo, Tairo Kurita

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2019

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Abstract

A 44-year-old man was admitted to our hospital with chest pain. We diagnosed him with pericardial effusion collection because of a spontaneous ruptured coronary aneurysm of 1.5 cm with coronary pulmonary arterial fistula (CPAF) by enhanced computed tomography and angiography. We completely resected the ruptured aneurysm and safely closed the CPAF. Rupture of coronary aneurysms with CPAF is rare, especially tiny aneurysms. In previous reports, most cases were older women and the diameter of the ruptured aneurysms was greater than 3.0 cm. We report a case of a middle-aged man with a tiny ruptured coronary aneurysm with CPAF.
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Said SA, el Gama MI. Coronary angiographic morphology of congenital coronary arteriovenous fistulas in adult: report of four new cases. Catheter Carsiovasc Diagn. 1995;35:29–35.CrossRef
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Verdini D, Vargas D, Kuo A, et al. Coronary-pulmonary artery fistulas: a systematic review. J Thorac Imaging. 2016;31:380–90.CrossRef
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Ishii H, Nakamura K, Nakamura E, et al. A case of ruptured coronary artery aneurysm with coronary artery pulmonary artery fistula and review of 23 cases. Jpn J Cardiovasc Surg. 2016;45:80–3.CrossRef
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Metadata
Title
Tiny ruptured coronary aneurysm with coronary-pulmonary arterial fistula
Authors
Shunsuke Sakamoto
Shinji Kanemitsu
Hideto Shimpo
Tairo Kurita
Publication date
01-12-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 12/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-0995-x

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