Giant Circumflex Aneurysm With Arteriovenous Fistula Surgery Guided by Three-Dimensional Printing.

Authors :: Blanco Herrera OR
Torregrosa-Puerta S
Domínguez-Massa C
Guevara-Bonilla A
Fonfria C
García JM
Valera-Martínez FJ
Montero-Argudo JA
Source :: The Annals of thoracic surgery [Ann Thorac Surg] 2020 Jul; Vol. 110 (1), pp. e1-e4. Date of Electronic Publication: 2020 Jan 23.
Publication Year :: 2020
Abstract: A giant coronary artery aneurysm is an infrequent anomaly encountered as an incidental finding. An even more rare condition is its association with a coronary artery fistula. We report the case of a 61-year-old woman that combines two of the rarest coronary anomalies: a 70-mm giant circumflex aneurysm with an arteriovenous fistula tract draining to the superior vena cava. Considering the unique display of anatomy, the surgery was guided with 3-dimensional printing technology. Direct fistula occlusion near its outflow union, orifice source closure, aneurysmal sac exclusion, and two coronary artery bypass grafts were surgically performed. The postoperative course was satisfactory.<br /> (Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

Subjects :: Arteriovenous Fistula diagnosis
Coronary Aneurysm diagnosis
Coronary Angiography
Coronary Vessel Anomalies diagnosis
Female
Humans
Middle Aged
Tomography, X-Ray Computed
Vena Cava, Superior diagnostic imaging
Arteriovenous Fistula surgery
Coronary Aneurysm surgery
Coronary Vessel Anomalies surgery
Printing, Three-Dimensional
Vascular Surgical Procedures methods
Vena Cava, Superior abnormalities

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