Work

Surgical management of coronary-cameral fistula with aneurysmal right coronary artery

Year: 2026

Type: article

Abstract: Coronary artery fistulas (CAFs) are rare vascular malformations that can result in catastrophic outcomes for patients. The development of CAFs is often accompanied by significant dilation and/or aneurysmal changes in the supplying coronary artery. Management of CAFs depends on the symptomatic status. We report a 52-year-old woman who presented to our hospital with unexplained chest tightness and pain for 2 weeks. Definitive diagnosis of a right CAF with aneurysmal dilation was established through comprehensive evaluation. The patient underwent surgical intervention involving incision at the proximal posterior atrioventricular groove coronary aneurysm, with successful fistula ligation via continuous suture closure. CAF are rare, often clinically silent anomalies of significant pathophysiologic importance, with a risk of lethal complications. This case demonstrates the feasibility and technical considerations of open surgical repair for a giant saccular coronary aneurysm secondary to fistula. It underscores the importance of an individualized surgical strategy in managing such complex anatomy.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjag118

Authors: Yuhao Li, Linlu Liu, Fengxu Yu

Institutions: Southwest Medical University, Affiliated Hospital of Southwest Medical University

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000