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Abstract
A 44-year-old man was admitted to our hospital with chest pain. We diagnosed him with pericardial effusion collection because of a spontaneous ruptured coronary aneurysm of 1.5 cm with coronary pulmonary arterial fistula (CPAF) by enhanced computed tomography and angiography. We completely resected the ruptured aneurysm and safely closed the CPAF. Rupture of coronary aneurysms with CPAF is rare, especially tiny aneurysms. In previous reports, most cases were older women and the diameter of the ruptured aneurysms was greater than 3.0 cm. We report a case of a middle-aged man with a tiny ruptured coronary aneurysm with CPAF.
Highlights
Coronary pulmonary arterial fistula (CPAF) is a congenital or acquired abnormality of coronary anatomy
CPAF consists of communication between a coronary artery and a pulmonary artery
We report here a successful surgical case of a tiny ruptured coronary aneurysm with CPAF
Summary
Keywords Coronary artery aneurysm · Coronary pulmonary arterial fistula Coronary pulmonary arterial fistula (CPAF) is a congenital or acquired abnormality of coronary anatomy. CPAF consists of communication between a coronary artery and a pulmonary artery. Approximately a quarter of all CAPFs may become aneurysmal, spontaneous rupture of the coronary aneurysm with CPAF is relatively rare.
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