Ruptured aneurysm of coronary artery-to-pulmonary artery fistula

Abstract

A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematoma. The inflow and outflow of the fistula were closed, and no cardioplegic leakage was noted. Postoperative angiography showed residual fistulas that were successfully closed by transcatheter embolization.

Keywords

arterio-arterial fistula cardiac tamponade coronary aneurysm embolization therapeutic pulmonary artery

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