Thrombotic occlusion of giant circumflex artery aneurysm after ligation of arteriovenous fistula.

Images in Cardiovascular Medicine Thrombotic Occlusion of Giant Circumflex Artery Aneurysm After Ligation of Arteriovenous Fistula

A 39-year-old man with no significant past medical history and no conventional coronary risk factors presented with a history of gradually progressive exertional dyspnea and a systolic heart murmur. Chest x-ray showed an enlarged cardiac silhouette with pulmonary plethora. Initial assessment by transthoracic echocardiography demonstrated mild mitral regurgitation but also revealed an enlarged c...

Saccular aneurysm of congenital coronary arteriovenous fistula.

A rare aneurysm of a congenital coronary arteriovenous fistula is reported. Echocardiography showed a dilated left coronary and left circumflex artery with normal left anterior descending artery. A dilated structure near the crux was confirmed to be a large aneurysm of circumflex coronary artery on selective angiography. It drained into the posterior right atrial wall. Under cardiopulmonary byp...

Secondary rupture of an iliac artery aneurysm after exclusion-bypass.

We report a case of secondary rupture of a common iliac artery aneurysm into the common iliac vein. Exclusion of the iliac aneurysm had been performed 2 years earlier in association with reconstruction of an aortic aneurysm that had ruptured into the interior vena cava. After closure of the aortocaval fistula by the endoaneurysmal route, aortobifemoral bypass grafting had been performed and a c...

Left circumflex coronary artery aneurysm with arteriovenous fistula to the coronary sinus presenting as acute coronary syndrome.

Dual Fistula Origınating from Left Anterior Descending Coronary Artery; Off-Pump Surgical Closure Technique

The incidence of multiple fistulas within all coronary arteriovenous fistulas varies between 10.7% and 16%. Double coronary-arteriovenous fistulas originating from a coronary artery are much less common. In this study, we present a double fistula originating from left anterior descending coronary artery and communicating with main pulmonary artery. A 72-year-old female patient was admitted to o...