CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e7-e9
DOI: 10.1055/s-0043-1760751
Case Report: Cardiac

Surgery of a Giant Coronary Sinus Aneurysm Resulting from a Coronary Artery Fistula

1   Department of Cardiovascular Surgery, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany
,
Mohamed Barghout
1   Department of Cardiovascular Surgery, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany
,
Sami Kueri
1   Department of Cardiovascular Surgery, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany
,
Martin Soschynski
2   Department of Diagnostic and Interventional Radiology, Medical Center, Faculty of Medicine, University of Freiburg, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany
,
Matthias Siepe
3   Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Switzerland
› Author Affiliations

Abstract

Coronary artery fistula (CAF), complicated by the aneurysmal formation of the coronary sinus (CS), is a very rare form of CAF. Here we report a case of a 60- year-old woman with a giant aneurysm of the CS resulting from the right coronary artery (RCA) fistula. The patient was highly symptomatic with dyspnea due to compression of cardiac chambers. CS reconstruction was performed using a pericardial patch after directly closing the fistula from the RCA to the CS.



Publication History

Received: 22 October 2022

Accepted: 08 November 2022

Article published online:
25 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/)

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