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Case Reports in Vascular Medicine
Volume 2013 (2013), Article ID 847972, 3 pages
http://dx.doi.org/10.1155/2013/847972
Case Report

A Giant Coronary Artery Aneurysm with Coronary Arteriovenous Fistula in Asymptomatic Elderly Patient

1Cardio-Thoracic and Vascular Department, University Hospital of Terni, Via Tristano di Joannuccio 1, 05100 Terni, Italy
2Radiology Department, University Hospital of Terni, Via Tristano di Joannuccio 1, 05100 Terni, Italy

Received 19 August 2013; Accepted 3 October 2013

Academic Editors: N. Espinola-Zavaleta and C.-L. Hung

Copyright © 2013 Caterina Milici et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coronary Arteriovenous Fistula (CAF) is a rare defect that occurs in 0.1-0.2% of patients undergoing coronary angiography; Coronary Artery Aneurism (CAA) also occurs in approximately 15–19% of patients with CAF. It is usually congenital, but in rare occasions it occurs after chest trauma, cardiac surgery, or coronary interventions. The case described is that of a 72-year-old woman, without previous history of cardiovascular disease, who presented a huge cardiac mass. A multimodal approach was necessary to diagnose a giant CAA with CAF responsible for compression and displacement of cardiac structures. Due to likely congenitally origin of the lesion and the absence of symptoms correlated to the CAA and to the CAF we decided to avoid invasive interventions and to treat the patient with medical therapy.