A case of Right coronary artery-left ventricular fistul with a giant
right coronary aneurysm
Abstract
Right coronary artery (RCA) -left ventricular (LV) fistul with a giant
right coronary artery aneurysm (CAA) is very rare. We reported a giant
right CAA with the widest inner diameter of about 56.6 mm. Its terminal
communicated with the LV with an inner diameter of about 22 mm. And the
patient had the huge LV. We successfully operated the surgery by
suturing the beginning of the coronary aneurysm and performing the
coronary artery bypass grafting (CABG). RCA-LV fistul with a giant right
CAA had some serious complications such as thrombosis, rupture and heart
failure. Therefore, it is necessary to establish a positive and
effective treatment strategy. Although our case is not unique, it
represents a classic surgical treatment method.