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Successful surgical management of a single coronary artery with giant coronary artery aneurysm with fistula to the right ventricle
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  • Shu-Sheng Liao,
  • Mei Chen,
  • Jue Wang,
  • Teng Ye,
  • Jinjin Liu
Shu-Sheng Liao
The First Affiliated Hospital of Wenzhou Medical University

Corresponding Author:lshsh303@sina.com

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Mei Chen
Ningbo City First Hospital
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Jue Wang
The First Affiliated Hospital of Wenzhou Medical University
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Teng Ye
The First Affiliated Hospital of Wenzhou Medical University
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Jinjin Liu
The First Affiliated Hospital of Wenzhou Medical University
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Abstract

A giant coronary artery aneurysm (GCAA) concurrent with coronary artery fistula is a rare condition, and it becomes even more unusual when combined with a single coronary artery (SCA) anomaly. Here we report such an extremely rare case, who is a 35-year-old woman presenting with severe chest distress. A GCAA with fistula to the right ventricle was noted, occurring in a single coronary artery, diagnosed by multimodality cardiovascular imaging techniques. Both GCAA and coronary artery fistula can cause severe cardiac complications, which jeopardize life. While an SCA is mostly asymptomatic, it may also lead to sudden cardiac death as well. Therefore, surgical intervention was recommended. We chose a novel thrombus-inducing strategy to eliminate the GCAA and repair the fistula. Symptoms were relieved after the surgery, and the patient remained asymptomatic over 8 months of follow-up.
19 Jun 2023Submitted to Echocardiography
19 Jun 2023Submission Checks Completed
19 Jun 2023Assigned to Editor
22 Jun 2023Reviewer(s) Assigned
27 Jun 2023Review(s) Completed, Editorial Evaluation Pending
29 Jun 2023Editorial Decision: Revise Minor
04 Jul 20231st Revision Received
04 Jul 2023Submission Checks Completed
04 Jul 2023Assigned to Editor
04 Jul 2023Reviewer(s) Assigned
04 Jul 2023Review(s) Completed, Editorial Evaluation Pending
12 Jul 2023Editorial Decision: Accept