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Bilateral coronary arteriovenous fistulas with an oversize left coronary aneurysm

Kazuyuki Ikeda1, Tetsuya Ueno, Yasuo Koga

  • 1Department of Cardiovascular Surgery, National Hospital Organization Ureshino Medical Center, Fujitsu-gun, Saga, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|July 10, 2004
PubMed

Insights

This case study details bilateral coronary arteriovenous fistulas with significant coronary aneurysms in a 66-year-old woman. Pathological findings suggest similar etiologies for both left and right coronary aneurysms.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary arteriovenous fistulas (CAVF) are rare congenital or acquired abnormalities.
  • Coronary artery aneurysms (CAA) are localized dilations of the coronary arteries, often associated with CAVF.

Observation:

  • A 66-year-old woman presented with bilateral coronary arteriovenous fistulas.
  • Significant coronary aneurysms were noted: 50 mm in the left and 10 mm in the right coronary artery.
  • Pathological examination revealed similar characteristics for both the left and right aneurysms.

Findings:

  • The case highlights a rare presentation of combined bilateral CAVF and large CAA.
  • Similar pathological findings in both aneurysms suggest a common underlying mechanism or progression.

Implications:

  • This case provides insights into the etiology and potential surgical management of complex coronary aneurysms.
  • Understanding these rare conditions is crucial for accurate diagnosis and treatment planning in cardiovascular medicine.

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