• Ann Thorac Cardiovasc Surg · Jun 2009

    Case Reports

    Surgical treatment of coronary artery aneurysm with coronary artery fistula.

    • Hironori Inoue, Masahiro Ueno, Hiroyuki Yamamoto, Kazuhisa Matsumoto, Koji Tao, and Ryuzo Sakata.
    • Department of Thoracic, Cardiovascular and Hepato-biliary-pancreatic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
    • Ann Thorac Cardiovasc Surg. 2009 Jun 1;15(3):198-202.

    AbstractCoronary artery aneurysm (CAA) is an uncommon disease with an incidence of 1%-5% in evaluated patients. Atherosclerosis is its most common etiology in adults, occurring in 50% of cases. Also, CAA is associated with predisposing factors such as Kawasaki disease, stent-angioplasty, and notably, coronary artery fistula. Most CAAs are asymptomatic but occasionally lead to life-threatening conditions, such as rupture, infection, and myocardial ischemia. Thus caution is urged for cardiac surgeons. We here report on seven surgical cases of CAA with coronary artery fistula in our institute, focusing on their surgical treatment.

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