Coronary-Pulmonary Artery Fistula Complicated with a Left Coronary Artery / 日本心臓血管外科学会雑誌

<p>An 84-year-old woman was referred due to an abnormal shadow on her chest X-ray. Computed tomography and coronary angiography revealed a left coronary artery aneurysm associated with a complex coronary-pulmonary artery fistula. We present our surgical strategy used to treat this complicated pathology.</p>

Excision of a Giant Coronary Artery Aneurysm Located Immediately Proximal to the LAD and Closure of Its Stump with LITA Patch and CABG to LAD / 日本心臓血管外科学会雑誌

A 52-year old man was referred to our hospital for atrial fibrillation ablation therapy. A multislice computed tomography study demonstrated a giant coronary artery aneurysm situated just proximal to the left anterior descending (LAD), LAD stenosis and coronary-pulmonary artery fistula. The fistula was ligated and the aneurysm was resected under cardiopulmonary bypass. The left internal thoracic artery was used as a bypass graft to the LAD as well as a patch for closure of the LAD orifice to avoid left circumflex artery stenosis. We report a rare case of giant LAD aneurysm with coronary-pulmonary artery fistula.