Korean Circ J.  1999 Jul;29(7):740-746.

Giant Aneurysm of a Congenital Coronary Arteriovenous Fistula Arising from the Left Coronary Artery

• Shin MS
• Maeng SH
• Lee HJ
• Cho HK
• Chung IM
• Shin GJ

Abstract

Congenital coronary arteriovenous fistula is a rare condition which is an abnormal communication of the coronary artery with the right ventricle, right atrium, left atrium or left ventricle. Coronary artery aneurysm is an uncommon disease which is defined as coronary dilatation which exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. In young ages, symptoms are unusual, but significant symptoms and complications such as congestive heart failure, subacute bacterial endocarditis, coronary steal syndrome, aneurysm formation, rupture, and pulmonary hypertension may appear among the older age group. We report a case of giant aneurysm of a congenital coronary arteriovenous fistula between left co-ronary artery and right ventricular outflow tract with significant left to right shunt confirmed in a 84-year old female with a brief review of literature.

Keyword

Coronary aneurysm; Coronary arteriovenous fistula

MeSH Terms

Aged, 80 and over
Aneurysm*
Arteries
Arteriovenous Fistula*
Coronary Aneurysm
Coronary Vessels*
Dilatation
Endocarditis, Subacute Bacterial
Female
Heart Atria
Heart Failure
Heart Ventricles
Humans
Hypertension, Pulmonary
Rupture