Giant Aneurysm of a Coronary-Pulmonary Artery Fistula: A Rare Cause of a Diastolic Murmur

A coronary-pulmonary artery fistula with giant aneurysmal dilatation is an extremely rare clinical constellation. The natural course of this disease and the incidence of complications are unknown. Hence, optimal treatment, particularly in asymptomatic patients, is still a matter of debate. Here we r...

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Bibliographic Details
Published inCardiovascular Innovations and Applications Vol. 4; no. 2; pp. 143 - 145
Main Authors Seitz, Andreas, Schäfer, Sophie, Backes, Maik, Mahrholdt, Heiko, Ong, Peter
Format Journal Article
LanguageEnglish
Published Ireland Compuscript 01.07.2019
Compuscript Ltd
Subjects
Coronary Anomaly
Coronary Fistula
Diastolic Murmur
Giant Aneurysm
Pulmonary Artery
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Summary:A coronary-pulmonary artery fistula with giant aneurysmal dilatation is an extremely rare clinical constellation. The natural course of this disease and the incidence of complications are unknown. Hence, optimal treatment, particularly in asymptomatic patients, is still a matter of debate. Here we report a case of a 71-year-old asymptomatic woman with a diastolic murmur. Comprehensive cardiovascular assessments including cardiac computed tomography and invasive coronary angiography revealed a coronary-pulmonary artery fistula with giant aneurysmal dilatation. The patient was managed conservatively and has now been followed up for 5 years without any events.
Bibliography:2009-8618(20190701)4:2L.143;1-
ISSN:2009-8618
2009-8782
DOI:10.15212/CVIA.2019.0017