caa a22 4500 445374144 CHVBK 20180317142957.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1183-7 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1183-7 Giant coronary artery aneurysm with coronary arteriovenous fistula draining into the coronary sinus [Elektronische Daten] [Norikatsu Mita, Shingo Kaida, Shin Kagaya, Sohtaro Miyoshi, Chikara Kawauchi, Yoshinori Kanemaru, Anwarul Haque] A 77-year-old patient suffering from a giant right coronary artery aneurysm with coronary arteriovenous fistula was admitted to our hospital. The fistula could not be documented preoperatively by computed tomography or coronary angiography but was documented intraoperatively by transesophageal echocardiography (TEE). However, TEE was unable to visualize the draining site of the fistula. Direct palpation by the surgeon ultimately confirmed that the fistula was draining into the coronary sinus. The fistula was closed and the volume of the aneurysm reduced by partial resection. The postoperative course of the patient was uneventful. Giant aneurysms occasionally displace cardiac structures. In such cases, combined imaging technologies, including TEE, may be needed for precise assessment of the giant aneurysm and fistula. Japanese Society of Anesthesiologists, 2011 Coronary artery aneurysm nationallicence Coronary arteriovenous fistula nationallicence Transesophageal echocardiography nationallicence Mita Norikatsu Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut Kaida Shingo Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut Kagaya Shin Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut Miyoshi Sohtaro Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut Kawauchi Chikara Department of Anesthesiology, Gyoda General Hospital, 376 Mochida, 361-0056, Gyoda, Saitama, Japan aut Kanemaru Yoshinori Department of Emergency Medicine, Tokyo Metropolitan Police Hospital, 4-22-1 Nakano, 164-8541, Nakano-ku, Tokyo, Japan aut Haque Anwarul Department of Anesthesiology, School of Medicine, Gunma University Hospital, 3-39-22 Showa-machi, 371-8511, Maebashi, Gunma, Japan aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 749-752 0913-8668 25:5<749 2011 25 540 https://doi.org/10.1007/s00540-011-1183-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1183-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mita Norikatsu Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut NATIONALLICENCE 700 1- Kaida Shingo Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut NATIONALLICENCE 700 1- Kagaya Shin Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut NATIONALLICENCE 700 1- Miyoshi Sohtaro Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, 360-0105, Kumagaya, Saitama, Japan aut NATIONALLICENCE 700 1- Kawauchi Chikara Department of Anesthesiology, Gyoda General Hospital, 376 Mochida, 361-0056, Gyoda, Saitama, Japan aut NATIONALLICENCE 700 1- Kanemaru Yoshinori Department of Emergency Medicine, Tokyo Metropolitan Police Hospital, 4-22-1 Nakano, 164-8541, Nakano-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Haque Anwarul Department of Anesthesiology, School of Medicine, Gunma University Hospital, 3-39-22 Showa-machi, 371-8511, Maebashi, Gunma, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 749-752 0913-8668 25:5<749 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer