Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e1-e3
DOI: 10.1055/s-0042-1757877
Case Report: Cardiac

Giant Coronary Aneurysm with Coronary-Pulmonary Artery Fistula in a Jehovah's Witness

Aina Hirofuji 
1   Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan
2   Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan
,
Azusa Furugen
2   Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan
,
Takeshi Kamada
2   Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan
,
Kenji Yamazaki
2   Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan
,
Hiroyuki Kamiya
1   Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Hirosato Doi
2   Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

With an incidence of 3 in 100 million, giant coronary artery aneurysm (CAA) with coronary artery fistula (CAF) is a very rare condition. To prevent rupture, giant CAA with CAF should be swiftly treated. We present a Jehovah's Witness patient with giant CAA and coronary-pulmonary artery fistula. We resected the giant CAA in one piece, while ligating the CAF, without allogeneic blood transfusion. Due to rarity of these conditions, many thoracic surgeons lack direct experience in its surgical procedures. Herein, we share footage of this surgery as an example of how to safely resect CAA with minimal bleeding.

Keywords

giant coronary artery aneurysm - coronary-pulmonary artery fistula - Jehovah's Witness


Publication History

Received: 16 May 2022

Accepted: 12 September 2022

Article published online:
03 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Sheikh AS, Hailan A, Kinnaird T, Choudhury A, Smith D. Coronary artery aneurysm: evaluation, prognosis, and proposed treatment strategies. Heart Views 2019; 20 (03) 101-108
    CrossrefPubMedGoogle Scholar
  • 2 Abou Sherif S, Ozden Tok O, Taşköylü Ö, Goktekin O, Kilic ID. Coronary artery aneurysms: a review of the epidemiology, pathophysiology, diagnosis, and treatment. Front Cardiovasc Med 2017; 4 (24) 24
    CrossrefPubMedGoogle Scholar
  • 3 Verdini D, Vargas D, Kuo A. et al. Coronary-pulmonary artery fistulas: a systematic review. J Thorac Imaging 2016; 31 (06) 380-390
    CrossrefPubMedGoogle Scholar
  • 4 Lee C-M, Song SY, Jeon SC, Park CK, Choi YW, Lee Y. Characteristics of coronary artery to pulmonary artery fistula on coronary computed tomography angiography. J Comput Assist Tomogr 2016; 40 (03) 398-401
    CrossrefPubMedGoogle Scholar
  • 5 Buccheri D, Chirco PR, Geraci S, Caramanno G, Cortese B. Coronary artery fistulae: anatomy, diagnosis and management strategies. Heart Lung Circ 2018; 27 (08) 940-951
    CrossrefPubMedGoogle Scholar