Left circumflex artery aneurysm with fistula to the coronary sinus

Abstract

A giant coronary artery aneurysm with arteriovenous fistula is a unique pathology having few surgical reports. An 82-year-old woman presented with a symptomatic giant left circumflex artery aneurysm with a fistula to the coronary sinus. The left coronary artery was dilated, and an aneurysmal change was visible from the left main trunk to the fistula. Surgery was performed to close the fistula and seclude all parts of the aneurysmal coronary artery. All coronary branches emerging from the aneurysm required bypass grafting. Herein, we present the history of this unusual case and our successful surgical strategy.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

  1. 1.

    Hirose H, Amano A, Yoshida S, Nagao T, Sunami H, Takahashi A, et al. Coronary artery aneurysm associated with fistula in adults: collective review and a case report. Ann Thorac Cardiovasc Surg. 1999;5:258–64.

    CAS  PubMed  Google Scholar 

  2. 2.

    Mangukia CV. Coronary artery fistula. Ann Thorac Surg. 2012;93:2084–92.

    Article  Google Scholar 

  3. 3.

    Libertini R, Wallbridge D, Jones HR, Gunning M, Satur CMR. Giant circumflex artery aneurysm with a coronary sinus fistula. Ann Thorac Surg. 2018;106:e223–e22525.

    Article  Google Scholar 

  4. 4.

    Qureshi SA. Coronary arterial fistulas. Orphanet J Rare Dis. 2006;1:51.

    Article  Google Scholar 

  5. 5.

    Nakahira A, Sasaki Y, Hirai H, Fukui T, Motoki M, Takahashi Y, et al. Rupture of aneurysmal circumflex coronary artery into the left atrium after ligation of its arteriovenous fistula. Circ J. 2007;71:1996–8.

    Article  Google Scholar 

  6. 6.

    Hajj-Chahine J, Haddad F, El-Rassi I, Jebara V. Surgical management of a circumflex aneurysm with fistula to the coronary sinus. Eur J Cardiothorac Surg. 2009;35:1086–8.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Reiko Kemmochi.

Ethics declarations

Conflict of interest

The authors have declared that no conflict of interest exists.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kemmochi, R., Ohga, Y., Kubo, Y. et al. Left circumflex artery aneurysm with fistula to the coronary sinus. Gen Thorac Cardiovasc Surg 68, 1196–1198 (2020). https://doi.org/10.1007/s11748-019-01247-8

Download citation

Keywords

  • Coronary artery aneurysm
  • Coronary artery fistula
  • Surgical strategy