Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

18 December 2019 : Case report  Thailand

Large Aneurysmal Rupture of Coronary-Pulmonary Artery Fistula After Buffalo Goring

Congenital defects / diseases

Natnicha Pongbangli1ABDEF*, Sasivimon Jai-aue1BDE, Metus Ketwong2BDE, Sukit Doikean2BDE, Wanwarang Wongcharoen3EF, Arintaya Phrommintikul3EF

DOI: 10.12659/AJCR.918838

Am J Case Rep 2019; 20:1892-1895

Abstract

BACKGROUND: Coronary-to-pulmonary artery fistulas are congenital coronary anomalies that are often incidentally found and no hemodynamic significance. They are abnormal vessels originating from the coronary artery and terminating into the pulmonary artery, with a tortuous pathway. However, coronary-pulmonary artery fistula associated with coronary artery aneurysm is a rare condition that can cause cardiac death.

CASE REPORT: A 55-year-old Thai woman diagnosed with traumatic aortic injury after being gored by a buffalo was incidentally found by computed tomography (CT) to have a coronary arteriovenous fistula with large aneurysm. One week after urgent thoracic endovascular aortic repair (TEVAR), she had a cardiac tamponade. Median sternotomy was performed for diagnosis and treatment. The final diagnosis was rupture of a large aneurysm of the coronary-pulmonary artery fistula (CPAF). No complications were found and the patient was discharged 2 weeks after surgery.

CONCLUSIONS: CPAF associated with rupture of a giant coronary aneurysm is a rare and life-threatening condition. Prompt diagnosis and emergency surgery are essential to treatment of these patients.

Keywords: Aorta, Thoracic, Cardiac Tamponade, Coronary Aneurysm, Coronary Vessel Anomalies, Aneurysm, Ruptured, Arteriovenous Fistula, Buffaloes, Coronary Artery Bypass, Incidental Findings, Pulmonary Artery, Thoracic Injuries, Tomography, X-Ray Computed, Wounds, Penetrating

Add Comment 0 Comments

In Press

29 Feb 2024 : Case report  Greece

Pancreatolithiasis: Does Management Depend on Clinical Manifestations?

Am J Case Rep In Press; DOI: 10.12659/AJCR.942725  

0:00

01 Mar 2024 : Case report  USA

A 25-Year-Old Man with a History of Substance Abuse Presenting with Pneumomediastinum Due to Methamphetamin...

Am J Case Rep In Press; DOI: 10.12659/AJCR.941509  

0:00

01 Mar 2024 : Case report  USA

Complicated Treatment Course of Severe Asymptomatic Hypertriglyceridemia: A Case Report and Literature Review

Am J Case Rep In Press; DOI: 10.12659/AJCR.943858  

04 Mar 2024 : Case report  Switzerland

Unintentional Plastic Blister Ingestion Leading to Intestinal Perforation: A Report of Two Cases

Am J Case Rep In Press; DOI: 10.12659/AJCR.943514  

Most Viewed Current Articles

07 Mar 2024 : Case report  USA

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923