A Case Report of Coronary Arteriovenous Fistulas with an Unruptured Coronary Artery Aneurysm Successfully Treated by Surgery
Joint Authors
Nishibori, Yoshiharu
Takeuchi, Nobuhiro
Takada, Masanori
Maruyama, Takao
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A 58-year-old female with a history of Wolff-Parkinson-White syndrome presented at our institution with palpitations and chest pain.
Electrocardiography revealed paroxysmal supraventricular tachycardia with a heart rate of 188 beats/min.
Antiarrhythmic drugs were ineffective, and tachycardia was resolved by electrical cardioversion.
Transthoracic echocardiography revealed abnormal vessels around the right coronary artery (RCA) and pulmonary artery (PA); in addition, we suspected coronary arteriovenous fistula (CAVF).
Coronary angiography and coronary computed tomography revealed dilated fistula vessels, with a 1 cm saccular aneurysm around the RCA, originating from the proximal RCA and left anterior descending artery into the main trunk of PA.
Therefore, we confirmed the diagnosis of CAVF with an unruptured aneurysm.
We surgically ligated and clipped the fistula vessels and resected the aneurysm.
The resected aneurysm measured 1×1 cm in size.
Pathological examination of the resected aneurysm revealed hypertrophic walls comprising proliferating fibroblasts cells thin elastic fibers.
Very few atherosclerotic changes manifested in the aneurysm walls.
We report the case of a patient with CAVF and an unruptured coronary artery aneurysm who was successfully treated by surgery.
American Psychological Association (APA)
Takeuchi, Nobuhiro& Takada, Masanori& Nishibori, Yoshiharu& Maruyama, Takao. 2012. A Case Report of Coronary Arteriovenous Fistulas with an Unruptured Coronary Artery Aneurysm Successfully Treated by Surgery. Case Reports in Cardiology،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-462740
Modern Language Association (MLA)
Takeuchi, Nobuhiro…[et al.]. A Case Report of Coronary Arteriovenous Fistulas with an Unruptured Coronary Artery Aneurysm Successfully Treated by Surgery. Case Reports in Cardiology No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-462740
American Medical Association (AMA)
Takeuchi, Nobuhiro& Takada, Masanori& Nishibori, Yoshiharu& Maruyama, Takao. A Case Report of Coronary Arteriovenous Fistulas with an Unruptured Coronary Artery Aneurysm Successfully Treated by Surgery. Case Reports in Cardiology. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-462740
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462740