1/87. Coronary arteriovenous fistulas with giant aneurysm: two case reports.Coronary arteriovenous fistulas are rare, particularly in association with coronary aneurysms. Two rare cases of patients with coronary arteriovenous fistulas and giant aneurysmal formation are described. A right coronary fistula that drained into the superior vena cava was demonstrated in one patient. The remaining patient had a documented left coronary fistula that drained into a main pulmonary artery and had evidence of several plexal vessels that transversed through the pulmonary trunk and toward the pericardial reflex. Under cardiopulmonary bypass, the fistulas and plexal vessels were successfully ligated without any injury to the native coronary circulation.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/87. Direct repair of giant right coronary aneurysm.We describe a novel method for surgical repair of giant right coronary aneurysm. Instead of aneurysm ligation and coronary bypass we mobilized the inflow and outflow and performed end-to-end anastomosis. This preserved the native vessel. Restudy in both patients confirmed the effectiveness of this technique.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/87. Giant aneurysm of saphenous vein graft to coronary artery compressing the right atrium.Aneurysm of reverse aortocoronary saphenous vein graft is a known complication of coronary artery bypass grafting. In this report we present a case of a 60-year-old man who presented 12 years after coronary artery bypass grafting with a giant graft aneurysm of the reverse aortocoronary saphenous vein graft to the right coronary artery, compressing the right atrium. Spiral computed tomography was used to identify the aneurysm measuring 7 x 6 x 7 cm. We also reviewed the English-language literature and found reports of 50 patients with similar aneurysms of which 30 (61%) were identified as true aneurysms and 17 (33%) were identified as pseudoaneurysms. Three patients could not be identified into either group. We reviewed the presenting symptoms, diagnostic tools, and treatment options for this rare entity. An understanding of the pathophysiology of reverse aortocoronary saphenous vein graft aneurysm is important to prevent the possibility of aneurysm rupture, embolization, myocardial infarction, or death.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
4/87. Coronary arteriovenous fistula with a giant aneurysm: role of transesophageal echocardiography.Congenital coronary arteriovenous fistulas are rare anomalies. patients may present with congestive heart failure, ischemic chest pain, or endocarditis. In this case, transesophageal echocardiography provided valuable additional information to that obtained from cardiac catheterization, which was essential for the diagnosis and planning of surgical correction.- - - - - - - - - - ranking = 0.8keywords = giant (Clic here for more details about this article) |
5/87. Thrombosed giant coronary artery aneurysm presenting as an intracardiac mass.Giant coronary artery aneurysms are rare in adults and are usually found in association with Kawasaki's disease arising in childhood. We report a case of a thrombosed giant right coronary artery aneurysm presenting as an intracardiac mass detected after inferior wall myocardial infarction. Histologic analysis indicated that fibromuscular dysplasia was the underlying cause of the aneurysm.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/87. Coil embolization of a giant atherosclerotic coronary artery aneurysm.The incidence of the coronary artery aneurysm varies from 1.5-5%. atherosclerosis is the most common cause of coronary artery aneurysm in adults. A discrete, giant, saccular atherosclerotic coronary artery aneurysm in an artery without significant proximal stenosis is rare. We report the first such case of a giant atherosclerotic coronary artery aneurysm successfully treated with coil embolization.- - - - - - - - - - ranking = 1.2keywords = giant (Clic here for more details about this article) |
7/87. Giant aneurysm following coil occlusion of patent ductus arteriosus.A case is described in which a giant aneurysm developed following successful PDA coil occlusion in an infant with marfan syndrome. This rare and severe complication brings into question the need for careful evaluation of these children before and after transcatheter occlusion.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
8/87. Giant noninflammatory and nonatherosclerotic coronary arterial aneurysm in the left main trunk assessed by intravascular ultrasound imaging--a case report.A case of a giant noninflammatory and nonatherosclerotic coronary arterial aneurysm in the left main trunk of a 69-year-old female is reported. Preoperative intravascular ultrasound (IVUS) images were helpful for visualizing the morphologic and histologic features of the coronary aneurysm. They were also useful for determining the etiologic background and surgical procedure.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
9/87. 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 = 1keywords = giant (Clic here for more details about this article) |
10/87. diagnosis of a giant coronary aneurysm with multiple imaging modalities.echocardiography demonstrated an 8-cm mass adjacent to the right side of the heart in a 79-year-old man with a history of hypertension and a repaired abdominal aortic aneurysm. The results of Doppler echocardiography and magnetic resonance imaging suggested the diagnosis of an unusually large coronary artery aneurysm, and this was confirmed with coronary angiography. At surgery, the 8- to 10-cm coronary aneurysm was resected, and the patient made an uneventful recovery.- - - - - - - - - - ranking = 0.8keywords = giant (Clic here for more details about this article) |
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