Cardiac tamponade due to rupture of a giant coronary aneurysm over coronary fistulas: Report of an unusual case

Coronary artery fistulas are rare clinical entities, and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, in the other hand, aneurysms could develop symptoms depending on their diameter. We present the clinical case about a patient with chest pain...

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Detalles Bibliográficos
Autores: Chavez Solsol, Jorge Francisco, Murillo Pérez, Luis Enrique, Heredia Oré, Ricardo Suny, Rodríguez Urteaga, Zoila, Toribio Salazar, María Pilar, Pérez Valverde, Yemmy
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Perú
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:español
OAI Identifier:oai:apcyccv.org.pe:article/25
Acceso en línea:https://apcyccv.org.pe/index.php/apccc/article/view/25
Access Level:acceso abierto
Palabra clave:aneurisma coronario
taponamiento cardiaco
fístula
coronary aneurysm
cardiac tamponade
Descripción
Sumario:Coronary artery fistulas are rare clinical entities, and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, in the other hand, aneurysms could develop symptoms depending on their diameter. We present the clinical case about a patient with chest pain and cardiac arrest, who later developed cardiac tamponade with the need for emergency surgery, due to rupture of a giant coronary aneurysm developed from confluent coronary artery fistulas from two coronary arteries to pulmonary artery.