| A Case of Ruptured Coronary Artery
Aneurysm Associated with Coronary Artery Fistulas |
(Department of Cardiovascular Surgery, Kikuna Memorial
Hospital, Yokohama, Japan)
| Noboru Murata |
Noboru Yamamoto |
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We reported a successfully operated
case of ruptured coronary artery aneurysm which resulted from
a coronary artery fistula. A 70-year-old woman who had been treated
for hypertension developed syncope and profound shock. Echocardiography
and chest CT-scan suggested the presence of cardiac tamponade.
An emergency operation was done. An aneurysm was seen at the
left side of the right heart outflow and pulmonary artery, on
the proximal left anterior descending coronary artery. Closure
of the orifice of the inflow and the outflow vessels of the aneurysm,
and aneurysmorraphy was performed under cardiopulmonary bypass.
Serpentine small arteries were found around the aneurysm and
were simply ligated by mattress sutures. The postoperative course
was uneventful, and coronary angiographic study demonstrated
normal coronary distribution.
Jpn. J. Cardiovasc. Surg. 30: 305-307 (2001) |
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