Abstract
Coronary artery fistula (CAF) is a relatively rare congenital abnormality of the coronary arteries; typically, patients who undergo surgery for CAFs are relatively young because it is a congenital disease. Here we present a case of an aneurysmal coronary-to-pulmonary artery fistula rupture in a 96-year-old female. Considering her extreme high age and missing preoperative diagnostics, only local hemostasis without anatomical repair was performed but the patient is still doing well 1 year after the operation.
Similar content being viewed by others
References
Buccheri D, Chirco PR, Geraci S, Caramanno G, Cortese B. Coronary artery fistulae: anatomy, diagnosis and management strategies. Heart Lung Circ. 2018;27(8):940–51.
Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, Del Nido P, Fasules JW, Graham TP Jr, Hijazi ZM, Hunt SA, King ME, Landzberg MJ, Miner PD, Radford MJ, Walsh EP, Webb GD, ACC/AHA. Guidelines for the management of adults with congenital heart disease: a report of the American college of cardiology/American heart association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American society of echocardiography, heart rhythm society, international society for adult congenital heart disease, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Am Coll Cardiol. 2008;52(23):e143–e263.
Kamiya H, Yasuda T, Nagamine H, Sakakibara N, Nishida S, Kawasuji M, Watanabe G. Surgical treatment of congenital coronary artery fistulas: 27 years’ experience and a review of the literature. J Card Surg. 2002;17(2):173–7.
Sugiyama K, Suzuki S, Kamiya K, Koizumi N, Ogino H. Ruptured coronary artery aneurysm with pulmonary artery fistulae. J Card Surg. 2017;32(12):799–800.
Said SA, Schroeder-Tanka JM, Mulder BJ. Female gender and the risk of rupture of congenital aneurysmal fistula in adults. Congenit Heart Dis. 2008;3(1):63–8.
Kawano M, Wada T, Anai H, Shuto T, Miyamoto S. A case of ruptured aneurysm of coronary-pulmonary artery fistula diagnosed after emergency thoracotomy. Surg Case Rep. 2018;4(1):24.
Okamura H, Kimura N, Mieno M, Matsumoto H, Yuri K, Yamaguchi A. Sutureless repair for postinfarction left ventricular free wall rupture. J Thorac Cardiovasc Surg. 2019;158(3):771–7.
Pocar M, Passolunghi D, Bregasi A, Donatelli F. TachoSil for postinfarction ventricular free wall rupture. Interact Cardiovasc Thorac Surg. 2012;14(6):866–7.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Murakami, H., Nakanishi, S., Hirofuji, A. et al. Rupture of aneurysmal coronary-to-pulmonary artery fistula in a 96-year-old female; report of a case. Gen Thorac Cardiovasc Surg 69, 601–604 (2021). https://doi.org/10.1007/s11748-020-01488-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-020-01488-y