Large Aneurysmal Rupture of Coronary-Pulmonary Artery Fistula After Buffalo Goring
| Autor: | Sukit Doikean, Natnicha Pongbangli, Arintaya Phrommintikul, Metus Ketwong, Sasivimon Jai-aue, Wanwarang Wongcharoen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Buffaloes Thoracic Injuries medicine.medical_treatment Coronary Vessel Anomalies Wounds Penetrating Aorta Thoracic 030204 cardiovascular system & hematology Aneurysm Ruptured Pulmonary Artery Coronary-pulmonary artery fistula 03 medical and health sciences 0302 clinical medicine Aneurysm Cardiac tamponade medicine.artery Medicine Animals Humans Coronary Artery Bypass Aorta Coronary artery aneurysm Incidental Findings business.industry Coronary Aneurysm General Medicine Articles Middle Aged medicine.disease Surgery Cardiac Tamponade medicine.anatomical_structure Median sternotomy 030220 oncology & carcinogenesis Pulmonary artery Arteriovenous Fistula cardiovascular system Female business Tomography X-Ray Computed Artery |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 55-year-old Final Diagnosis: Large aneurysmal rupture of coronary pulmonary artery fistula Symptoms: Chest discomfort Medication: — Clinical Procedure: Exclusion of aneurysm • ligation and closure of fistula, with coronary artery bypass graft Specialty: Cardiology Objective: Congenital defects/diseases Background: Coronary-to-pulmonary artery fistulas are congenital coronary anomalies that are often incidentally found and no hemodynamic significance. They are abnormal vessels originating from the coronary artery and terminating into the pulmonary artery, with a tortuous pathway. However, coronary-pulmonary artery fistula associated with coronary artery aneurysm is a rare condition that can cause cardiac death. Case Report: A 55-year-old Thai woman diagnosed with traumatic aortic injury after being gored by a buffalo was incidentally found by computed tomography (CT) to have a coronary arteriovenous fistula with large aneurysm. One week after urgent thoracic endovascular aortic repair (TEVAR), she had a cardiac tamponade. Median sternotomy was performed for diagnosis and treatment. The final diagnosis was rupture of a large aneurysm of the coronary-pulmonary artery fistula (CPAF). No complications were found and the patient was discharged 2 weeks after surgery. Conclusions: CPAF associated with rupture of a giant coronary aneurysm is a rare and life-threatening condition. Prompt diagnosis and emergency surgery are essential to treatment of these patients. |
| Databáze: | OpenAIRE |
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