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Large saccular aneurysm in a coronary arterial fistula--a case report

Osamu Kinoshita1, Fumiaki Ogiwara, Takeshi Hanaoka

  • 1The First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan. kinos@hsp.md.shinshu-u.ac.jp

Angiology
|March 29, 2005
PubMed

Insights

A rare case of a saccular aneurysm in a coronary artery fistula was diagnosed using advanced imaging. This rare condition, if unaddressed, poses a risk of sudden death.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Congenital coronary artery fistulas are relatively common cardiovascular anomalies.
  • Saccular aneurysms within these fistulas are exceptionally rare, presenting unique diagnostic and therapeutic challenges.

Observation:

  • A large saccular aneurysm was identified within a coronary artery fistula.
  • The fistula originated from the left anterior descending coronary artery and drained into the pulmonary artery main trunk.

Findings:

  • Diagnosis was confirmed using high-resolution 3-dimensional computed tomography and coronary arteriography.
  • The saccular aneurysm represents a critical, rare complication of a coronary artery fistula.

Implications:

  • Rupture of the saccular aneurysm can lead to sudden, fatal outcomes.
  • Prompt surgical intervention is crucial for managing this rare and dangerous condition.
  • This case highlights the importance of advanced imaging in diagnosing rare cardiovascular malformations.

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