Use of cardiac computed tomography in the management of symptomatic coronary aneurysm: A case study and literature review.

Coronary artery aneurysms are rare malformations caused by atherosclerosis, connective tissue disease or vasculitides, and are usually discovered incidentally with invasive coronary angiography. A case involving a 58-year-old male presenting with an acute coronary syndrome who was found on invasive angiogram to have a giant aneurysm of the left anterior descending coronary artery is described. The incidence, pathophysiology and management of giant aneurysms in the context of an acute coronary syndrome are reviewed.

Axillary artery to right atrium shunt for hemodialysis access in a patient with advanced central vein thrombosis: a case report.

Central venous thrombosis presents a challenge to the treatment of hemodialysis patients requiring vascular access. We present the case of a patient with renal failure and virulent thrombophilia causing severe central venous thrombosis. We discuss the use of a hemodialysis shunt from the right axillary artery to the right atrium and describe the technical details and the pitfalls encountered in our utilization of this technique.

Development of aorta-to-right atrial fistula following closure of secundum atrial septal defect using the Amplatzer septal occluder.

An aorta-to-right atrial fistula developed within 3 months after closure of an atrial septal defect using the Amplatzer septal occluder. Surgical correction was required. The cause of this complication appears to be erosion into the aorta by the right atrial disk.