Related Experiment Video

Updated: May 13, 2026

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
07:04

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit

Published on: April 15, 2021

Saccular coronary artery aneurysm and fistula with organized thrombi

Eun Haeng Jeong1, Byung Jin Kim, Ki Bae Bang

  • 1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Korean Circulation Journal
|March 20, 2013
PubMed

Insights

A rare case of a large saccular coronary artery aneurysm with fistula was successfully treated surgically. The patient recovered well, with a patent bypass graft noted post-surgery, though a small residual fistula was observed.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Diagnostic Imaging

Background:

  • Saccular coronary artery aneurysms associated with coronary artery fistulae are exceptionally rare.
  • Early detection and management are crucial for patient outcomes.

Purpose of the Study:

  • To report a rare case of a huge saccular coronary artery aneurysm with multiple fistulae.
  • To describe the diagnostic modalities and surgical management of this complex condition.

Main Methods:

  • Diagnosis was established using transthoracic echocardiography, multi-detector computer tomography (MDCT), and coronary angiography.
  • Surgical intervention included thrombectomy, aneurysm sac ligation, coronary artery bypass grafting (CABG), and fistula ligation.

Main Results:

  • A huge saccular aneurysm of the proximal left anterior descending artery (LAD) with organized thrombi and fistulae to the pulmonary artery was identified.
  • The patient underwent successful surgical repair with a patent left internal mammary artery (LIMA)-to-distal LAD bypass graft.
  • A small residual fistula from the proximal LAD to the pulmonary artery was noted postoperatively.

Conclusions:

  • Surgical management can be effective for complex saccular coronary artery aneurysms with fistulae.
  • Despite successful surgery, careful postoperative monitoring is essential to detect residual abnormalities.

Keywords:
Coronary aneurysmCoronary vessels, arterio-arterial fistula

More Related Videos

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit06:11

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Anastomoses01:19

Anastomoses

In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...