Cardiac Tamponade due to Rupture of a Giant Coronary Aneurysm over Coronary Fistulas: Report of an Unusual Case

Chávez-Solsol F.; Murillo-Pérez L.; Heredia-Oré R.; Rodríguez-Urteaga Z.; Toribio-Salazar M.; Pérez-Valverde Y. · Archivos Peruanos de Cardiologia y Cirugia Cardiovascular (2020) · DOI: 10.47487/apcyccv.v1i2.25

Resumen

Coronary artery fistulas are rare clinical entities and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, but aneurysms could develop symptoms depend-ing on their diameter. We present a patient with chest pain and cardiac arrest, who later developed cardiac tamponade that needed emergency surgery, due to rupture of a giant coronary aneurysm developed from confluent coronary artery fistulas from two coronary arteries to pulmonary artery.