1/11. Surgical treatment of a coronary artery fistula with concomitant saccular coronary artery aneurysm: a case report.An extremely rare case of a coronary artery fistula with a concomitant saccular aneurysm is presented. A 65-year-old woman, who had a history of chest bruising 5 years earlier, suffered from chest pain, which was diagnosed as being due to left coronary artery-pulmonary artery fistulae concomitant with a giant saccular coronary artery aneurysm. Suture closure of the afferent coronary artery to the aneurysm, aneurysmorrhaphy, and transpulmonary closure of coronary artery-pulmonary artery fistulae were performed. The postoperative course was uneventful and the patient was well at 3 months after the operation. Because the risk of surgery appears to be less than the potential development of fatal complications, it is recommended for the treatment of coronary artery fistula with a concomitant saccular aneurysm.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/11. Coexistence of giant aneurysm of sinus of valsalva and coronary artery aneurysm associated with idiopathic hypereosinophilic syndrome.Aneurysms of the coronary sinuses of Valsalva and coronary artery aneurysms are uncommon cardiac anomalies, and cases in which these two uncommon lesions occur at the same time are extremely rare. A case of a woman with unstable angina who had a giant aneurysm of the left coronary sinus and multiple coronary artery aneurysms associated with an idiopathic hypereosinophilic syndrome is presented. Her sustained eosinophilia, elevated eosinophilic cationic protein concentration, and pathological findings of eosinophil infiltration of the aortic wall suggested the association of eosinophilia induced vascular injury as the cause of these aneurysms. This is the first such case to survive following surgical treatment.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
3/11. rupture of a giant saccular aneurysm of coronary arteriovenous fistulas.A 58-year-old Japanese woman was admitted to our hospital because of chest pain. A continuous murmur was detected at the left parasternal area. Electrocardiogram showed ST elevation in leads V2, V3 and V4. Chest computed tomography and echocardiography demonstrated pericardial effusion and a large mass which was adjacent to the pulmonary artery. An abnormal blood flow was detected in the mass by Doppler echocardiography. coronary angiography confirmed that the mass was a giant aneurysm of coronary arteriovenous fistula arising from both the left and right coronary arteries. This patient had no symptoms until rupture of the fistula. rupture of a coronary arteriovenous fistula is very rare but can be a cause of chest pain and pericardial effusion.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
4/11. Large aneurysms of the ascending aorta and major coronary arteries in a patient with hereditary hemorrhagic telangiectasia.We describe a 50-year-old man with a history of hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) who presented with chest pain, atrial fibrillation, and congestive heart failure. echocardiography revealed a large ascending aortic aneurysm accompanied by severe aortic regurgitation and giant coronary artery aneurysms involving the right, left main, left anterior descending, and circumflex coronary arteries. coronary angiography clearly defined multiple aneurysms involving the aorta and coronary arteries. The patient underwent complex and successful surgical repair of the aneurysms. To our knowledge, this is the first reported case of extensive cardiac involvement in a patient with this uncommon genetic disorder.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/11. Atypical pulmonary giant hydatid cyst as bilaterally symmetrical solitary cysts.A pulmonary giant hydatid cyst, a special clinical entity, is rare. Our case involves a young patient who presented with a bilaterally symmetrical solitary cyst in each lung, a feature consistent with congenital lung cysts. The radiological and immunological findings were equivocal. A diagnosis of giant hydatid cyst was made intraoperatively and both cysts were removed conservatively. A follow-up showed complete recovery.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
6/11. Giant pseudoaneurysm from Vieussens' arterial ring.A giant coronary pseudoaneurysm of uncertain cause, arising from Vieussens' arterial ring, was preoperatively diagnosed in an oligosymptomatic female patient. Successful off-pump surgical excision without additional bypass grafting was performed. Difficulties in diagnostic algorithm, as well as possible cause and extremely rare localization were discussed.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
7/11. Videoscopic resection of a giant symptomatic pericardial cyst: case report.A 47-year-old woman presented with shortness of breath, chest discomfort, and hoarseness. She was found to have an enlarged cardiac silhouette on plain chest radiography. Computed tomographic scan and magnetic resonance imaging were diagnostic of a giant pericardial cyst. The patient underwent successful videoscopic removal of the cyst with complete resolution of her symptoms.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
8/11. A giant aortocaval fistula due to abdominal aortic aneurysm.Although very rare, the fistula development between vena cava inferior and an abdominal aortic aneurysm is a pathology which can deteriorate the clinical status of the patient rapidly. Today, this pathology can be diagnosed very easily with non-invasive tests, and invasive tests can also be used for diagnostic purposes when needed. Especially spiral computed tomography scan with contrast is usually sufficient to diagnose this pathology. A large-diameter aortocaval fistula case, which to our knowledge never presented in the literature before, and its diagnosis and treatment will be presented in this article.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
9/11. The giant paraesophageal hernia: a particularly morbid condition of the esophageal hiatus.The giant paraesophageal hernia is an uncommon but particularly morbid disorder of the gastroesophageal hiatus that may have life-threatening complications. The authors present three cases of these hernias to illustrate the potential complications of true hernias of the gastroesophageal hiatus.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
10/11. Acute chest pain in an elderly woman.A 79-year-old woman was admitted to hospital complaining of chest pain, increasing weakness, anorexia, hoarseness, headache and discomfort in the throat and jaws while eating. physical examination, chest x-rays, serial electrocardiograms and cardiac enzymes were unremarkable. After admission she developed weakness and numbness in the left leg with urinary retention, decreased sensation to touch, weakness, increased tone, absent deep tendon reflexes and a positive Babinski sign on the left. Zeta sedimentation rate was markedly elevated at 0.63. Computerized tomographic head scan, myelography, echocardiography, barium swallow and meal, immunoglobulins, electrophoresis and other laboratory investigations were unremarkable. Repeat sedimentation rate was still markedly elevated three weeks later. A temporal artery biopsy confirmed the diagnosis of temporal or giant cell arteritis. prednisone, 60 mg daily, was started.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
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