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The Japanese Journal of Thoracic Surgery Volume 74, Issue 12 （November 2021）

胸部外科 74巻12号（2021年11月発行）

Japanese English

臨床経験

冠状動脈瘻を伴った冠状動脈瘤 Coronary Aneurysm with Fistula 櫻田卓 ¹ , 内山博貴 ¹ , 前田俊之 ¹ , 村木里誌 ¹ , 中島真治 ¹ , 荒木英司 ¹ Taku Sakurada ¹ , Hiroki Uchiyama ¹ , Toshiyuki Maeda ¹ , Satoshi Muraki ¹ , Shinji Nakashima ¹ , Eiji Araki ¹ ¹札幌中央病院心臓血管外科 ¹Department of Cardiovascular Surgery, Sapporo Central Hospital キーワード：冠状動脈瘤 , 冠状動脈瘻 , 手術療法 Keyword: coronary artery aneurysm , coronary artery fistula , surgical treatment pp.987-991

発行日 2021年11月1日 Published Date 2021/11/1

DOI https://doi.org/10.15106/j_kyobu74_987

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参考文献 Reference

冠状動脈瘤は比較的まれな疾患で，それに対する外科治療では瘤径や部位，あるいは冠状動脈瘻の有無などにより，それぞれの病態に即した手術戦略が必要になる．われわれは，まれで病態の異なる2例の冠状動脈瘤を経験したので報告する．

We successfully treated two rare cases of coronary aneurysm with fistula.

Case 1；A 65-year-old female referred to our hospital with the coronary aneurysm and fistula. Right coronary aneurysm with fistula leading to coronary sinus was observed. Coronary bypass surgery using a saphenous vein to #4PD was performed, and two right ventricle branches were reconstructed. Coronary aneurysm was resected.

Case 2；A 46-year-old male was admitted with chest discomfort. Coronary aneurysm with fistula from the left main trunk to left ventricle was demonstrated. Ligation of the coronary artery aneurysm and suture closure of the entry site to the left ventricle was performed.

Both patients had uneventful recovery.