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Surgical repair for left coronary artery-right atrium fistula with giant coronary aneurysm

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Abstract

Background

Coronary artery fistula is a rare coronary anomaly which is defined as a communication between coronary artery and other heart chambers or vascular structures. The coronary artery which supply the fistula with blood can dilated, as a consequence, coronary aneurysm developed.

Case introduction

Coronary artery fistula is frequently asymptomatic in its early stage, here we report a 26-year-old woman with left coronary artery fistula and left coronary artery aneurysm who presented in our hospital with dyspnea, fatigue and palpitation. The orifice of fistula was closed by continuous suture via right atriotomy. The wall of the aneurysm and enlarged LCA were partially resected along its longitudinal axis so that we can reduce the diameter of LCA to approximately normal.

Conclusion

This technique provides a safe method for surgical repair of the giant coronary artery aneurysm with CAF.
Title
Surgical repair for left coronary artery-right atrium fistula with giant coronary aneurysm
Authors
Yan Jin
Mengfei Zhang
Juan He
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2022
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-022-01857-z
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