Left main coronary artery aneurysm with fistula to superior vena cava: A challenging case

Jigisha Pujara; Suvendu Panda; Guriqbal Singh; Garima Harbola; Pragya Sachan; Tanya Chhauda; Ryan Vachaparampil

doi:10.4103/aca.aca_326_20

Left main coronary artery aneurysm with fistula to superior vena cava: A challenging case

Ann Card Anaesth. 2023 Apr-Jun;26(2):215-218. doi: 10.4103/aca.aca_326_20.

Authors

Jigisha Pujara¹, Suvendu Panda¹, Guriqbal Singh¹, Garima Harbola¹, Pragya Sachan¹, Tanya Chhauda¹, Ryan Vachaparampil¹

Affiliation

¹ Department of Cardiac Anesthesiology, U.N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Abstract

Coronary artery fistulas (CAFs) are rare congenital coronary artery abnormalities, with direct communication between a coronary artery and a cardiac chamber, great vessel or other structure. We report here, a rare case of a 25-year-old male with CAF from the aneurysmal left main coronary artery to the superior vena cava detected on echocardiography and computerized tomography (CT) coronary angiography.

Keywords: Coronary artery fistula; left main coronary artery; superior vena cava.

Publication types

Case Reports

MeSH terms

Adult
Coronary Aneurysm* / complications
Coronary Aneurysm* / diagnostic imaging
Coronary Aneurysm* / surgery
Coronary Angiography
Coronary Vessel Anomalies* / complications
Coronary Vessel Anomalies* / diagnostic imaging
Coronary Vessel Anomalies* / surgery
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery
Echocardiography / methods
Fistula*
Heart Defects, Congenital*
Humans
Male
Vena Cava, Superior / abnormalities
Vena Cava, Superior / diagnostic imaging