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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Giant Coronary Aneurysm with Coronary-Pulmonary Artery Fistula in a Jehovah's Witness

Aina Hirofuji1,2, Azusa Furugen2, Takeshi Kamada2

  • 1Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

The Thoracic and Cardiovascular Surgeon Reports
|February 6, 2023
PubMed

Insights

Giant coronary artery aneurysm (CAA) with coronary artery fistula (CAF) is rare. Surgical resection of giant CAA with CAF was successfully performed without blood transfusion in a Jehovah's Witness patient.

Area of Science:

  • Cardiovascular Surgery
  • Medical Case Reports

Background:

  • Giant coronary artery aneurysms (CAAs) with coronary artery fistulas (CAFs) are exceedingly rare cardiovascular conditions.
  • Prompt intervention is crucial to prevent life-threatening rupture of these anomalies.

Observation:

  • A Jehovah's Witness patient presented with a giant CAA and a coronary-pulmonary artery fistula.
  • The patient's religious beliefs precluded the use of allogeneic blood transfusions.

Findings:

  • Surgical resection of the giant CAA was achieved in one piece.
  • The coronary artery fistula was successfully ligated.
  • The procedure was performed without the need for any allogeneic blood transfusion, demonstrating a transfusion-free approach.

Implications:

  • This case highlights a safe surgical technique for managing giant CAA with CAF in patients who refuse blood transfusions.
  • The presented surgical footage serves as a valuable educational resource for thoracic surgeons, particularly those lacking experience with such rare conditions.
  • Successful management underscores the feasibility of complex cardiovascular procedures adhering to specific patient requirements.

Keywords:
Jehovah's Witnesscoronary-pulmonary artery fistulagiant coronary artery aneurysm

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