Giant coronary artery aneurysm with pulmonary artery fistula in a patient on chronic hemodialysis.
Giant coronary artery aneurysm with pulmonary artery fistula in a patient on chronic hemodialysis.
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DOI：
10.1016/j.athoracsur.2009.07.095
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发表时间：
2010-03
期刊：
影响因子：
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通讯作者：
C. Tokunaga;Akito Imai;Y. Enomoto;Y. Tanaka;S. Matsushita;Y. Hiramatsu;Y. Sakakibara
中科院分区：
文献类型：
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作者：
C. Tokunaga;Akito Imai;Y. Enomoto;Y. Tanaka;S. Matsushita;Y. Hiramatsu;Y. Sakakibara
冠状动脉瘤合并肺动脉瘘是非常罕见的，其常见原因是动脉粥样硬化。一位61岁女性，因长期血液透析导致巨大冠状动脉瘤伴肺动脉瘘和左心室心肌内钙化伴进行性动脉粥样硬化而就诊。由于限制性心功能不全导致血流动力学不稳定，在体外循环下切除了冠状动脉瘤。患者的限制性心功能障碍在动脉瘤切除术后得到改善。对合并限制性心功能不全的巨大冠状动脉瘤应考虑手术切除。
The combination of coronary artery aneurysm and pulmonary artery fistula is extremely rare and its common cause is atherosclerosis. A 61- year-old woman presented with a giant coronary artery aneurysm with pulmonary artery fistula and intramyocardial calcifications of the left ventricle associated with progressive atherosclerosis due to chronic hemodialysis. The coronary artery aneurysm was resected under cardiopulmonary bypass because of hemodynamic instability due to restrictive cardiac dysfunction. The patient's restrictive cardiac dysfunction was improved after aneurysm resection. Surgical resection should be considered for giant coronary artery aneurysm with restrictive cardiac dysfunction.