Multiple Coronary Artery Fistulas Combined with Giant Coronary Aneurysms with a Brain Occupying Lesion: A Case Report
by Yi-Rui Zang1, Ji-Wang Zhang2, Ze-An Fu3, Jia-Hui Wang1, Zhi-Gang Liu1*
1Department of Cardiac Surgery, TEDA International Cardiovascular Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Tianjin, China
2Department of Radiology, TEDA International Cardiovascular Hospital, Tianjin, China
3Department of Cardiac Surgery, TEDA International Cardiovascular Hospital, Tianjin, China
*Corresponding author: Zhi-Gang Liu, Department of Cardiac Surgery, TEDA International Cardiovascular Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Tianjin, China.
Received Date: 14 November 2023
Accepted Date: 17 November 2023
Published Date: 21 November 2023
Citation: Yi-Rui Z, Ji-Wang Z, Ze-An F, Jia-Hui W, Zhi-Gang L (2023) Multiple Coronary Artery Fistulas Combined with Giant Coronary Aneurysms with a Brain Occupying Lesion: A Case Report. Ann Case Report 8: 1518. https://doi.org/10.29011/2574-7754.101518
The coronary artery fistula (CAF) is an abnormal connection between the coronary artery and a major vessel or cardiac chamber. Coronary artery aneurysm (CAA) is defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient’s largest coronary vessel by 1.5~2.0 times. The intracranial space-occupying lesion is a group of diseases that occupy a particular space within the cranium, bearing many causes, such as trauma, tumors, infections, cerebrovascular disease, etc. The coexistence of these three diseases is rare and can lead to fatal complications, including heart failure, angina pectoris, acute myocardial infarction, and increased intracranial pressure. In this article, we report a case of a young patient who was diagnosed with multiple coronary artery fistula with a giant coronary aneurysm concomitant with right cerebellar occupancy and underwent complex surgical treatment at our institution. At follow-up, the patient recovered good myocardial perfusion. In this article, we discuss and analyze the disease characteristics of this patient and summarize the perioperative problems and decisions as a way to improve the prognosis and survival of CAF patients with multiple disease combinations.
Keywords: Coronary Artery Fistula; Coronary Artery Aneurysm; Intracranial Occupying Lesion; Heart Failure; Cardiac Surgery