Left anterior descending coronary artery compressed by a giant coronary fistula aneurysm: a case report

Ischaemic chest pain can be originated by different causes. Among all, coronary fistulas are rarely the reason. Such entities are usually asymptomatic and can be diagnosed by echocardiography or coronary angiography. In an even rarer scenario, coronary fistulas might dilate and form an aneurysm. We...

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Bibliographic Details
Published in:European heart journal : case reports 2019-12, Vol.3 (4), p.1-5
Main Authors: Bertolín Boronat, Javier, Faga, Valentina, Aguar Carrascosa, Pablo, Mora Llabata, Vicente
Format: Article
Language:English
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Case Reports
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Summary:Ischaemic chest pain can be originated by different causes. Among all, coronary fistulas are rarely the reason. Such entities are usually asymptomatic and can be diagnosed by echocardiography or coronary angiography. In an even rarer scenario, coronary fistulas might dilate and form an aneurysm. We report the case of a 62-year-old patient who was initially referred to the emergency department for stable angina. Coronary angiography and computed tomography scan showed a giant aneurysm relating to a coronary fistula with a course from the circumflex coronary artery to the superior vena cava. The aneurysm was critically compressing the left anterior descending coronary artery. It was confirmed and resolved by surgery. Giant aneurysms of a coronary fistula are very uncommon entities. We describe a rare case of angina caused by extrinsic compression of the left anterior descending artery from a giant aneurysm of a coronary fistula.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytz157