Surgery of a Giant Coronary Sinus Aneurysm Resulting from a Coronary Artery Fistula

Author:

Diab Nawras1ORCID,Barghout Mohamed1,Kueri Sami1,Soschynski Martin2,Siepe Matthias3

Affiliation:

1. Department of Cardiovascular Surgery, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany

2. Department of Diagnostic and Interventional Radiology, Medical Center, Faculty of Medicine, University of Freiburg, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany

3. Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Switzerland

Abstract

AbstractCoronary artery fistula (CAF), complicated by the aneurysmal formation of the coronary sinus (CS), is a very rare form of CAF. Here we report a case of a 60- year-old woman with a giant aneurysm of the CS resulting from the right coronary artery (RCA) fistula. The patient was highly symptomatic with dyspnea due to compression of cardiac chambers. CS reconstruction was performed using a pericardial patch after directly closing the fistula from the RCA to the CS.

Publisher

Georg Thieme Verlag KG

Subject

General Engineering

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