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...

Full description

Saved in:
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
Online AccessGet full text

Cover

Abstract 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.
AbstractList 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.
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.
Author Mahrholdt, Heiko
Schäfer, Sophie
Seitz, Andreas
Backes, Maik
Ong, Peter
Author_xml – sequence: 1
  givenname: Andreas
  surname: Seitz
  fullname: Seitz, Andreas
– sequence: 2
  givenname: Sophie
  surname: Schäfer
  fullname: Schäfer, Sophie
– sequence: 3
  givenname: Maik
  surname: Backes
  fullname: Backes, Maik
– sequence: 4
  givenname: Heiko
  surname: Mahrholdt
  fullname: Mahrholdt, Heiko
– sequence: 5
  givenname: Peter
  surname: Ong
  fullname: Ong, Peter
BookMark eNp1kE1P3DAQhqOKSqXAudf8gSz-ih33FoVCVwKBUFupp9Gs46yMsjGyHST49XV22d7wZV5bmsczz9fiZPKTLYpvlKxozSi77P6s2xUjVK8IoepTccoI0VWjGnZyzJI2X4qLGN2GiEZLrZU-Lf7eOJxS2U52Dq9xV_qhxLLzwU8YXquHedztU9mGZHO5djHNI34v2_IRgy07nKM9NF05jMmPzpR3c9jN4bz4POAY7cV7PSt-X__41f2sbu9v1l17WxkuZaoavVGEDkxxJXrCFJM1E9yIjWysbJi2MkfGNW5QKWKs4qYXmkuGViLlyM-K9YHbe3yC5-B2eV7w6GD_4MMWMCRnRguk1qSnpqZGD4LbTBzswCwXPSWaCp5ZlweWCT7GYIf_PEpgLxoW0bCIhkV07ng4dLhpa6eE8OTnMOV9wRkw0QT3nGDxv-iHFzGxfGP5O8KAUl5DbwecxwQJA2zfIDYZefUB8sgzLw6PM-yPOAa27LqEhv8DZZihqA
Cites_doi 10.1016/j.athoracsur.2003.05.006
10.1016/j.ejcts.2009.02.033
10.1097/RTI.0000000000000232
10.1016/0003-4975(92)91028-8
10.1016/0167-5273(90)90161-W
10.1056/NEJMicm000094
10.1007/s10554-010-9711-3
10.1002/ccd.1810350207
ContentType Journal Article
DBID AAYXX
CITATION
DOA
DOI 10.15212/CVIA.2019.0017
DatabaseName CrossRef
Directory of Open Access Journals
DatabaseTitle CrossRef
DatabaseTitleList

CrossRef
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
EISSN 2009-8782
EndPage 145
ExternalDocumentID oai_doaj_org_article_0590d1c51c9f43eba7fef2e34d109143
10_15212_CVIA_2019_0017
cscript/cvia/2019/00000004/00000002/art00008
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
M~E
2RA
AAYXX
ADBBV
BCNDV
CITATION
CQIGP
EBS
FIJ
GROUPED_DOAJ
IPNFZ
OK1
RIG
ID FETCH-LOGICAL-c366t-89b701f27374d027265243c4b68e6829e64b6239aba770ce73cd49362ae6a13a3
IEDL.DBID DOA
ISSN 2009-8618
IngestDate Thu Jul 04 21:03:27 EDT 2024
Fri Aug 23 01:09:37 EDT 2024
Thu Jan 27 13:03:54 EST 2022
Wed Sep 13 02:50:46 EDT 2023
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c366t-89b701f27374d027265243c4b68e6829e64b6239aba770ce73cd49362ae6a13a3
Notes 2009-8618(20190701)4:2L.143;1-
OpenAccessLink https://doaj.org/article/0590d1c51c9f43eba7fef2e34d109143
PageCount 3
ParticipantIDs doaj_primary_oai_doaj_org_article_0590d1c51c9f43eba7fef2e34d109143
crossref_primary_10_15212_CVIA_2019_0017
ingenta_journals_cscript_cvia_2019_00000004_00000002_art00008
ingenta_journals_ic_cscript_20098618_v4n2_20210902_1135_default_tar_gz_s8
PublicationCentury 2000
PublicationDate 2019-07-01
PublicationDateYYYYMMDD 2019-07-01
PublicationDate_xml – month: 07
  year: 2019
  text: 2019-07-01
  day: 01
PublicationDecade 2010
PublicationPlace Ireland
PublicationPlace_xml – name: Ireland
PublicationTitle Cardiovascular Innovations and Applications
PublicationYear 2019
Publisher Compuscript
Compuscript Ltd
Publisher_xml – name: Compuscript
– name: Compuscript Ltd
References SA Said (r1) 1990; 27
K Izumi (r10) 2009; 15
D Verdini (r3) 2016; 31
H Niimura (r4) 2002; 346
KL Gandy (r5) 2004; 77
Y Okita (r7) 1992; 54
MS Kim (r9) 2010; 26
M Vavuranakis (r2) 1995; 35
T Sakao (r8) 2000; 53
N Ozaki (r6) 2009; 35
References_xml – volume: 77
  start-page: 1081
  issue: 3
  year: 2004
  ident: r5
  article-title: Left main coronary artery-to-pulmonary artery fistula with severe aneurysmal dilatation
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2003.05.006
  contributor:
    fullname: KL Gandy
– volume: 35
  start-page: 1089
  issue: 6
  year: 2009
  ident: r6
  article-title: Surgical repair of coronary artery to pulmonary artery fistula with aneurysms
  publication-title: Eur J Cardiothorac Surg
  doi: 10.1016/j.ejcts.2009.02.033
  contributor:
    fullname: N Ozaki
– volume: 53
  start-page: 684
  issue: 8 Suppl
  year: 2000
  ident: r8
  article-title: [Ruptured saccular aneurysm of a coronary artery to pulmonary artery fistula associated with cardiac tamponade]
  publication-title: Kyobu Geka
  contributor:
    fullname: T Sakao
– volume: 31
  start-page: 380
  issue: 6
  year: 2016
  ident: r3
  article-title: Coronary-pulmonary artery fistulas: a systematic review
  publication-title: J Thorac Imaging
  doi: 10.1097/RTI.0000000000000232
  contributor:
    fullname: D Verdini
– volume: 15
  start-page: 194
  issue: 3
  year: 2009
  ident: r10
  article-title: Surgical repair for a coronary-pulmonary artery fistula with a saccular aneurysm of the coronary artery
  publication-title: Ann Thorac Cardiovasc Surg
  contributor:
    fullname: K Izumi
– volume: 54
  start-page: 771
  issue: 4
  year: 1992
  ident: r7
  article-title: Aneurysm of coronary arteriovenous fistula presenting as a calcified mediastinal mass
  publication-title: Ann Thorac Surg
  doi: 10.1016/0003-4975(92)91028-8
  contributor:
    fullname: Y Okita
– volume: 27
  start-page: 203
  issue: 2
  year: 1990
  ident: r1
  article-title: Coronary-pulmonary fistula: long-term follow-up in operated and non-operated patients
  publication-title: Int J Cardiol
  doi: 10.1016/0167-5273(90)90161-W
  contributor:
    fullname: SA Said
– volume: 346
  start-page: 1211
  issue: 16
  year: 2002
  ident: r4
  article-title: Image in clinical medicine. Coronary-artery fistula with a giant aneurysm
  publication-title: N Engl J Med
  doi: 10.1056/NEJMicm000094
  contributor:
    fullname: H Niimura
– volume: 26
  start-page: 273
  year: 2010
  ident: r9
  article-title: Coronary to pulmonary artery fistula: morphologic features at multidetector CT
  publication-title: Int J Cardiovasc Imaging
  doi: 10.1007/s10554-010-9711-3
  contributor:
    fullname: MS Kim
– volume: 35
  start-page: 116
  issue: 2
  year: 1995
  ident: r2
  article-title: Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history
  publication-title: Cathet Cardiovasc Diagn
  doi: 10.1002/ccd.1810350207
  contributor:
    fullname: M Vavuranakis
SSID ssib048969979
ssib050729888
ssj0001920148
Score 2.117476
Snippet A coronary-pulmonary artery fistula with giant aneurysmal dilatation is an extremely rare clinical constellation. The natural course of this disease and the...
SourceID doaj
crossref
ingenta
SourceType Open Website
Aggregation Database
Enrichment Source
Publisher
StartPage 143
SubjectTerms Coronary Anomaly
Coronary Fistula
Diastolic Murmur
Giant Aneurysm
Pulmonary Artery
Title Giant Aneurysm of a Coronary-Pulmonary Artery Fistula: A Rare Cause of a Diastolic Murmur
URI https://www.ingentaconnect.com/content/cscript/cvia/2019/00000004/00000002/art00008
https://doaj.org/article/0590d1c51c9f43eba7fef2e34d109143
Volume 4
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQT1wQCBDLSz700EvUxHb8QOKwbLttkYoQoqicrInjoEW7W5RNKpUDv52ZONsu4sCFS-JEseN842Rm4pnPjO27vARrHaBvUoZMVUJmFWqKrJHWgIFQg6Z85_MP-vRCvb8sL3eW-qKYsEQPnIA7pOTIughlEVyjZKzANLERUaqaKC1V4vksyh1nCkeSsk47dzf_VBI_th2Jub4nu4Z-pdHKczQ7YHVhR94fymU9nH05m1LY18Blaf5QWQOz_13q044ymj9kD0Yrkk9T7x-xe3H9mH09QVF3fEoUlTebFb9qOPAZMRRAe5N97JeroUS1Iu7mKOB-CW_4lH-CNvIZ9JuYKh0tAG3C5SJwlMOqb5-wi_nx59lpNq6ckAWpdZdZV5m8aNA0MapGx1PoUigZVKVt1Fa4qLEopAOE0-QhGhlq5VCXQdRQSJBP2d76ah2fMW5lkDbU6FfZoIgsRlQ5tlFXIQc0vfSEHWzB8T8SQYYnx4Jw9ISjJxwpdM5M2DsC7_YyYrYeTqC8_Shv_y95T9jbEXo_vm0bH9IX1ofrBWxvl7yfbUFQ-4N9PGFnf9VfhNsmaDjQaPDXai3wSAyBq-gnydLXsYF-2fkOWv_tp9_Y5__jgV6w-9TlFAL8ku11bR9foaHTVa-HMY3b81_HvwFL_PKg
link.rule.ids 315,786,790,870,2115,27957,27958
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Giant+Aneurysm+of+a+Coronary-Pulmonary+Artery+Fistula%3A+A+Rare+Cause+of+a+Diastolic+Murmur&rft.jtitle=Cardiovascular+innovations+and+applications&rft.au=Seitz%2C+Andreas&rft.au=Sch%C3%A4fer%2C+Sophie&rft.au=Backes%2C+Maik&rft.au=Mahrholdt%2C+Heiko&rft.date=2019-07-01&rft.issn=2009-8618&rft.eissn=2009-8782&rft.volume=4&rft.issue=2&rft_id=info:doi/10.15212%2FCVIA.2019.0017&rft.externalDBID=n%2Fa&rft.externalDocID=10_15212_CVIA_2019_0017
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2009-8618&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2009-8618&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2009-8618&client=summon