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

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.


Related in: MedlinePlus

(A) and (B) Left coronary angiography. (A) Contrast dye drained from the aneurysm to the right ventricle (arrow). (B) The feeding artery of the aneurysm origined from left coronary artery (black arrow) and the left circumflex artery aroses from the proximal of this feeding artery (white arrow). (C) Right coronary angiography. The anterior descending coronary artery arose from proximal right artery (arrow).
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Figure 4: (A) and (B) Left coronary angiography. (A) Contrast dye drained from the aneurysm to the right ventricle (arrow). (B) The feeding artery of the aneurysm origined from left coronary artery (black arrow) and the left circumflex artery aroses from the proximal of this feeding artery (white arrow). (C) Right coronary angiography. The anterior descending coronary artery arose from proximal right artery (arrow).

Mentions: Coronary angiography which showed the saccular aneurysm with feeding artery from the dilated left main coronary artery connected to the RV through the fistula by the contrast dye (Figure 4A), the anomalous origin of the anterior descending coronary artery from the dominant RCA and the course of the anterior descending coronary artery showed in MSCT (Figure 4B, C).


The Coincidence of 3 Different Rare Coronary Artery Anomalies in an Adult Patient With Untreated Kawasaki Disease
(A) and (B) Left coronary angiography. (A) Contrast dye drained from the aneurysm to the right ventricle (arrow). (B) The feeding artery of the aneurysm origined from left coronary artery (black arrow) and the left circumflex artery aroses from the proximal of this feeding artery (white arrow). (C) Right coronary angiography. The anterior descending coronary artery arose from proximal right artery (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: (A) and (B) Left coronary angiography. (A) Contrast dye drained from the aneurysm to the right ventricle (arrow). (B) The feeding artery of the aneurysm origined from left coronary artery (black arrow) and the left circumflex artery aroses from the proximal of this feeding artery (white arrow). (C) Right coronary angiography. The anterior descending coronary artery arose from proximal right artery (arrow).
Mentions: Coronary angiography which showed the saccular aneurysm with feeding artery from the dilated left main coronary artery connected to the RV through the fistula by the contrast dye (Figure 4A), the anomalous origin of the anterior descending coronary artery from the dominant RCA and the course of the anterior descending coronary artery showed in MSCT (Figure 4B, C).

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.


Related in: MedlinePlus