Coronary artery aneurysms (CAA) may exceed 5 cm, commonly involve the right coronary artery (RCA), may occur in close proximity to the left main trunk, and may result in pulmonary artery fistulae or compress the right atrium and present as a pericardial mass. We present images of a CAA of the RCA with a fistula to the left ventricle (LV).A 64‐year‐old female was evaluated for palpitations and found on computed tomography (CT) scan to have a 6‐cm right CAA (RCAA) with a fistula to the posterior LV (Figures A and B). At the time of surgery, cardiopulmonary bypass was instituted by aortic and bicaval cannulation. The aorta was crossclamped and the heart arrested with retrograde cold blood cardioplegia. The RCCA was opened, the fresh clot removed, and the orifices of the branches were suture ligated (Figures A and B). The RCCA fisutula was closed with a pericardial patch and the ostium of the RCA was closed with a Dacron patch (Figure C). An end‐side anastomosis was performed to the posteriolateral branch using a segment of saphenous vein, followed by a side‐side anastomosis to the posterior descending artery, and a proximal anastomosis to the ascending aorta (Figure D). The patient tolerated
Journal of Cardiac Surgery – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera