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Ann Thorac Surg 2004;77:1823-1825
© 2004 The Society of Thoracic Surgeons

Case report

Acute respiratory insufficiency and giant coronary artery aneurysm with fistula

Carmelo Mignosa, MD, FETCSa*, Salvatore Agati, MDa, Innocenzo Bianca, MDa, Dario Salvo, MDa, Giuseppe Pittellaa, Giuseppe Ciccarello, FEBCPb

a Department of Cardiologia Medica e Chirurgica dell'Età Evolutiva, Azienda USL 5–Ospedale San Vincenzo, Taormina (Messina), Italy
b Perfusion Service, Edwards Lifesciences, Milan, Italy

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Mignosa, Unità Operativa di Cardiochirurgia, Presidio Ospedaliero San Vincenzo, Contrada Sirina, 98039 Taormina (Messina), Italy
e-mail: carmignosa{at}tiscali.it

Several causes of acute respiratory insufficiency have been reported in the literature. We describe a case in which it was caused by a rare combination of a giant right coronary artery aneurysm with fistula that occurred in a 56-year-old woman with concomitant congenital hypothyroidism. Diagnostic tools, differential diagnosis, surgical techniques, and follow-up at 1 year are discussed.






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