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The Coincidence of 3 Different Rare Coronary Artery Anomalies in an Adult Patient With Untreated Kawasaki Disease

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ABSTRACT

The coincidence of 3 different rare coronary artery anomalies is extremely rare, and has not been reported so far.

We report multiple imaging findings of a giant coronary artery aneurysm, which has a fistulous connection to the right ventricle associated with anomalous origin of the anterior descending coronary artery from the right coronary artery in a 67-year-old woman who suffered with a 20-year history of progressively chest distress on exertion and a history of untreated Kawasaki disease in her childhood.

The patient received surgical treatment. The aneurysm was resected and openings at both ends being oversewn. And the fistula was also closed directly. She recovered and discharged uneventfully.

The coincidence of 3 different rare coronary artery anomalies in adult patient with untreated Kawasaki disease is a rare and complicated condition, in which surgical treatment is recommended.

No MeSH data available.


Echocardiography. (A) Four-chamber view. A cystic lesion (arrow) was showed in the apex of interventricular septum. (B) Short-axis view. A hyperechoic mass (arrow) was detected in the cystic lesion. (C) Doppler echocardiography. A diastolic flow in the dilated vessel was showed with peak velocity achieved 2.85 m/s.
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Figure 1: Echocardiography. (A) Four-chamber view. A cystic lesion (arrow) was showed in the apex of interventricular septum. (B) Short-axis view. A hyperechoic mass (arrow) was detected in the cystic lesion. (C) Doppler echocardiography. A diastolic flow in the dilated vessel was showed with peak velocity achieved 2.85 m/s.

Mentions: Transthoracic echocardiography showed dilation of the left main coronary artery to 1.0 cm, a cystic lesion localized in the apex of interventricular septum (Figure 1A) in which there was a hyperechoic mass (Figure 1b) and a dilated, tortuous vessel, which was considered as the anterior descending coronary artery connected with the cystic lesion. Doppler color flow imaging showed a diastolic flow in the previous abnormal vessel with peak velocity achieved 2.85 m/s (Figure 1C).


The Coincidence of 3 Different Rare Coronary Artery Anomalies in an Adult Patient With Untreated Kawasaki Disease
Echocardiography. (A) Four-chamber view. A cystic lesion (arrow) was showed in the apex of interventricular septum. (B) Short-axis view. A hyperechoic mass (arrow) was detected in the cystic lesion. (C) Doppler echocardiography. A diastolic flow in the dilated vessel was showed with peak velocity achieved 2.85 m/s.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4998408&req=5

Figure 1: Echocardiography. (A) Four-chamber view. A cystic lesion (arrow) was showed in the apex of interventricular septum. (B) Short-axis view. A hyperechoic mass (arrow) was detected in the cystic lesion. (C) Doppler echocardiography. A diastolic flow in the dilated vessel was showed with peak velocity achieved 2.85 m/s.
Mentions: Transthoracic echocardiography showed dilation of the left main coronary artery to 1.0 cm, a cystic lesion localized in the apex of interventricular septum (Figure 1A) in which there was a hyperechoic mass (Figure 1b) and a dilated, tortuous vessel, which was considered as the anterior descending coronary artery connected with the cystic lesion. Doppler color flow imaging showed a diastolic flow in the previous abnormal vessel with peak velocity achieved 2.85 m/s (Figure 1C).

View Article: PubMed Central - PubMed

ABSTRACT

The coincidence of 3 different rare coronary artery anomalies is extremely rare, and has not been reported so far.

We report multiple imaging findings of a giant coronary artery aneurysm, which has a fistulous connection to the right ventricle associated with anomalous origin of the anterior descending coronary artery from the right coronary artery in a 67-year-old woman who suffered with a 20-year history of progressively chest distress on exertion and a history of untreated Kawasaki disease in her childhood.

The patient received surgical treatment. The aneurysm was resected and openings at both ends being oversewn. And the fistula was also closed directly. She recovered and discharged uneventfully.

The coincidence of 3 different rare coronary artery anomalies in adult patient with untreated Kawasaki disease is a rare and complicated condition, in which surgical treatment is recommended.

No MeSH data available.