African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 69

Case Report

Surgical repair of a giant right coronary artery aneurysm with intra-cardiac fistulas: A case report

Adama Sawadogo
  • Adama Sawadogo
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Nibepuo Hippolyte Some
  • Nibepuo Hippolyte Some
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Farid Pingwinde Belem
  • Farid Pingwinde Belem
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Moussa Bazongo
  • Moussa Bazongo
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Gilbert Bonkoungou
  • Gilbert Bonkoungou
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Adama Sanou
  • Adama Sanou
  • Department of Thoracic and Cardiovascular Surgery, University Hospital of Tingandogo, Ouagadougou, Burkina Faso.
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Lionel Camilleri
  • Lionel Camilleri
  • Department of Cardiovascular Surgery, University Hospital of Clermont-Ferrand, France.
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  •  Received: 10 August 2022
  •  Accepted: 14 August 2023
  •  Published: 31 August 2023

Abstract

Coronary artery aneurysms (CAA) are rare and life-threatening cardiovascular abnormalities. Multiple aneurysms and giant aneurysms are even rarer. The authors report a case of a giant CAA (7 cm) in a 62-year-old male patient with multiple cardiovascular risks. In fact, there were three adjacent aneurysms of the right coronary artery (RCA) that were connected to the cardiac chambers through two fistulas. Additionally, there was significant stenosis of the left anterior descending (LAD) at segment II. The patient underwent double coronary artery bypass grafting (RCA and LAD) and aneurysm repair under cardiopulmonary bypass. Despite a few early postoperative complications, the results in terms of myocardial revascularization were good, and the patient was discharged from the hospital on the 18th day postoperatively.   

Key words: Coronary artery aneurysm, cardiac fistula, ischemic heart, coronary artery bypass