Giant Circumflex Aneurysm With Arteriovenous Fistula Surgery Guided by Three-Dimensional Printing.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31981501.
- Also identified by DOI 10.1016/j.athoracsur.2019.11.051.
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Abstract
A giant coronary artery aneurysm is an infrequent anomaly encountered as an incidental finding. An even more rare condition is its association with a coronary artery fistula. We report the case of a 61-year-old woman that combines two of the rarest coronary anomalies: a 70-mm giant circumflex aneurysm with an arteriovenous fistula tract draining to the superior vena cava. Considering the unique display of anatomy, the surgery was guided with 3-dimensional printing technology. Direct fistula occlusion near its outflow union, orifice source closure, aneurysmal sac exclusion, and two coronary artery bypass grafts were surgically performed. The postoperative course was satisfactory.
Medical subject headings
- Arteriovenous Fistula
- Coronary Aneurysm
- Coronary Vessel Anomalies
- Printing, Three-Dimensional
- Vascular Surgical Procedures
- Vena Cava, Superior