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Large Saccular Aneurysm in a Coronary Arterial Fistula

A Case Report

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan, kinos{at}hsp.md.shinshu-u.ac.jp

Fumiaki Ogiwara, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Takeshi Hanaoka, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Takeshi Tomita, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Osamu Yokozeki, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Ryuichi Kai, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Shin-ichirou Uchikawa, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Kaoru Kogashi, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Hiroshi Tsutsui, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Hiroshi Imamura, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Yoshikazu Yazaki, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Uichi Ikeda, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Minoru Hongo, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

Keishi Kubo, MD

First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

The authors present a case of a large saccular aneurysm in a coronary artery fistula originating from the proximal left anterior descending coronary artery, draining into the main trunk of the pulmonary artery. The diagnosis was made by 3-dimensional computed tomography and coronary arteriography. Congenital coronary artery fistula is not uncommon. With a saccular aneurysm, however, it is very rare. A ruptured aneurysm will induce sudden death if surgical repair is not done.

Angiology, Vol. 56, No. 2, 233-235 (2005)
DOI: 10.1177/000331970505600216


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