A Giant Right Coronary Artery of Diffuse Ectasia Induced by a Right Ventricular Fistula
Renyuan Li1, Yiming Ni1, Peng Teng1
1Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Insights
A rare coronary artery fistula (CAF) case involved a giant, ectatic right coronary artery draining into the right ventricle. This unique presentation was successfully treated with surgical intervention.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Case Reports
Background:
- Coronary artery fistula (CAF) is an uncommon condition.
- While sometimes associated with coronary ectasia, giant coronary artery involvement is exceptionally rare.
Abstract:
Coronary artery fistula (CAF) is a rare entity. Sometimes it may associate with mild diffuse or segmental coronary ectasia. CAF with giant coronary artery is exceptionally rare. We present a unique case of a 49-year-old female patient with a giant right coronary artery of diffuse ectasia coexisting with a fistula draining into the right ventricle. To our best knowledge, CAF with diffuse coronary ectasia of such giant size has never been reported. The patient was treated successfully by resection of the dilated right coronary artery, fistula closure, and coronary artery bypass grafting.
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