1/5. Intraoperative localisation and management of coronary artery fistula using transesophageal echocardiography.Coronary artery fistula is a rare congenital malformation that can be complicated by intracardiac shunts, endocarditis, myocardial infarction, coronary aneurysm and sudden death. Clinical symptomatology depends upon the underlying anatomy and the size of the fistulous connection between the left or right side of the heart. We report the successful management of a giant right coronary artery with fistulization into the right atrium. Intraoperative transesophageal echocardiography with colour flow Doppler was used for precise location of the fistulous communication, selective demonstration of vessels feeding the fistula and documentation of abolition of fistulous flow all without the need for cardiopulmonary bypass. Furthermore the effect of shunt occlusion on regional wall motion was documented which facilitated the successful ligation of the fistula.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/5. Successful surgical treatment of giant coronary artery aneurysm with fistula.Giant coronary artery aneurysm with fistula formation is a rare entity. We report a giant coronary artery aneurysm with a maximum diameter of 70 mm with fistula, in which a favorable course was obtained after surgical treatment. We also review the literature on giant coronary artery aneurysms exceeding 50 mm in maximum diameter.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
3/5. Surgical treatment of annuloaortic ectasia with coronary aneurysm and fistula.Annuloaortic ectasia associated with a giant aneurysm of the left coronary artery and a coronary artery fistula is extremely rare, and it is difficult to decide how to repair this complex lesion. The cause of the huge aneurysm of the left coronary artery in our patient was thought to be cystic medial necrosis, the coronary artery fistula, or both. The surgical management of this extremely rare pathological combination is described.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/5. Late-term myocardial infarction after surgical ligation of a giant coronary artery fistula.A case is presented of a patient with recurrent myocardial infarctions after surgical treatment of a giant coronary artery fistula. The etiology was due to thrombus development in a large blind pouch, with propagation into more proximal vessels. Stenting of the proximal vessel provided temporary benefit, but recurrence eventually required surgical closure of the blind pouch.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
5/5. Giant coronary artery fistula complicated by cardiac tamponade.A 30 year old female was admitted to the hospital with cardiogenic shock due to cardiac tamponade. A ruptured giant coronary artery fistula (CAF) originating from the left main coronary artery draining into the right atrium was identified as the cause. In this case report we describe the clinical course with emphasis on diagnostic work-up and imaging.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |