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Saccular aneurysm of congenital coronary arteriovenous fistula

K M Krishnamoorthy1, Sekhar Rao

  • 1Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi-515 134, India. saikm@sctimst.ker.nic.in

Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
PubMed

Insights

A rare congenital coronary arteriovenous fistula with an aneurysm was successfully treated by surgical closure of the drainage site and fistula ligation. This case highlights effective management of a complex cardiac anomaly.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Imaging

Background:

  • Congenital coronary arteriovenous fistulas are rare vascular anomalies.
  • Aneurysmal dilation within these fistulas presents unique diagnostic and therapeutic challenges.

Purpose of the Study:

  • To report a rare case of a congenital coronary arteriovenous fistula with an aneurysm.
  • To describe the diagnostic approach and successful surgical management of this condition.

Main Methods:

  • Echocardiography and selective angiography were used for diagnosis.
  • Surgical intervention involved cardiopulmonary bypass, direct closure of the fistula drainage into the right atrium, and ligation at the fistula origin.

Main Results:

  • Echocardiography revealed a dilated left circumflex artery with an aneurysm.
  • Selective angiography confirmed the aneurysm and its drainage into the posterior right atrial wall.
  • Successful surgical repair was achieved with direct closure and ligation.

Conclusions:

  • Congenital coronary arteriovenous fistulas with aneurysms, though rare, require precise diagnosis and tailored surgical intervention.
  • Direct surgical closure and ligation offer an effective treatment modality for such complex cases.

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