Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Right Coronary Artery to Left Ventricular Fistula with a Giant Right Coronary Artery Aneurysm - A case report -

거대 우관상 동맥류를 동반한 우관상 동맥에서 좌심실로 유출되는 관상 동맥루 - 1예 보고 -

  • Kang, Joon-Kyu (Department of Thoracic and Cardiovascular Surgery, Sanggye Paik Hospital, Inje University) ;
  • Huh, Jae-Hak (Department of Thoracic and Cardiovascular Surgery, Sanggye Paik Hospital, Inje University) ;
  • Chang, Ji-Min (Department of Thoracic and Cardiovascular Surgery, Sanggye Paik Hospital, Inje University) ;
  • Song, Cheol-Min (Department of Thoracic and Cardiovascular Surgery, National Police Hospital)
  • 강준규 (인제대학교 상계백병원 흉부외과) ;
  • 허재학 (인제대학교 상계백병원 흉부외과) ;
  • 장지민 (인제대학교 상계백병원 흉부외과) ;
  • 송철민 (국립경찰병원)
  • Received : 2009.05.18
  • Accepted : 2010.03.19
  • Published : 2010.06.05
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Abstract

A right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm is a very rare condition. This requires surgical treatment because of the possibility of rupture of aneurysm, heart failure and infective endocarditis. A 47 years old male patient with dyspnea on exertion for 3 months was diagnosed as having a right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm according to the CT and coronary artery angiography. We resected the aneurysm and performed a coronary artery bypass graft.

거대 우관상 동맥류를 동반한 우관상 동맥에서 좌심실로 유출되는 관상 동맥루는 매우 드문 질환이며 동맥류 파열과 심부전, 심내막염으로의 진행 가능성이 있으므로 수술적 치료가 요구되는 질환이다. 본 증례는 47세 남자 환자가 3개월 전부터 시작된 운동 시 호흡 곤란을 주소로 내원한 환자로 흉부 전산화 단층 촬영과 관상동맥 조영술을 통해 거대 우관상동맥류 및 관상동맥-좌심실루로 진단되어 거대 관상동맥류 절제술 및 관상동맥 우회술을 시행하여 성공적으로 치험하였기에 보고하는 바이다.

Keywords

References

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Cited by

  1. Right Coronary Artery to Left Ventricular Fistula with Giant Right Coronary Artery Aneurysm vol.90, pp.6, 2010, https://doi.org/10.3904/kjm.2016.90.6.518