Giant left circumflex coronary artery aneurysm with fistula to the right atrium. Issue 2 (4th March 2018)

• Record Type: Journal Article
• Authors: Spapen, Jerrold; Van Kolen, Katrien; Gigase, Arno; Vermeersch, Paul
• Is Part Of: Acta cardiologica. Volume 73:Issue 2(2018)
• Page Start: 200
• Page End: 201
• Publication Date: 2018-03-04
• Subjects: Coronary artery fistula -- echocardiography -- cardiac computed tomography -- coronary angiography -- treatment; Cardiology -- Periodicals; Cardiology; Cardiologie -- Périodiques; Cardiology; Cardiologie; Periodicals; Periodicals; 616.12005
• DOI: 10.1080/00015385.2017.1351257
• Languages: English
• ISSNs: 0001-5385

Abstract

Abstract: Coronary artery fistulae are rare cardiac anomalies with a prevalence of 0.2% of all the patients undergoing coronary angiography. The majority of them are congenital and generally origin from the right coronary artery. Occasionally acquired (mostly iatrogenic) fistulae can develop. Although frequently subclinical, symptoms of angina and congestive heart failure may occur. We present an unusual well-illustrated case of a strongly dilated circumflex coronary artery with formation of two giant aneurysms and fistulous communication towards the right atrium.