Surgical intervention of coronary-pulmonary artery fistula with multiple coronary aneurysms and Vieussens’ arterial ring formation

Abstract

Background: To our knowledge, there have been extremely few clinical reports on coronary-pulmonary artery fistula (CPAF) accompanied by coronary artery aneurysm (CAA) and Vieussens’ arterial ring (VAR), and few reports on related surgical treatments. Case presentation: A 61-year-old female patient was admitted with dyspnea and fatigue after exertion. Coronary CTA, echocardiography and coronary angiography revealed multiple CPAF, along with formation of multiple CAAs and VAR. The patient underwent successful surgical intervention under general anesthesia and cardiopulmonary bypass and experienced an uneventful recovery. Conclusion: Hereby we reported this clinically unusual case of CPAFs with multiple CAAs and VAR and also the details of a successful surgical procedure.