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Cardiac Tamponade Due to Spontaneous Rupture of Large Coronary Artery Aneurysm

Department of Cardiovascular Surgery, Shimonoseki Municipal Central Hospital, Yamaguchi, Japan

For reprint information contact: Satoshi Kimura, MD Tel: 81 92 642 5557 Fax: 81 92 642 5566 Email: sakimura{at}heart.med.kyushu-u.ac.jp, Department of Cardiovascular Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

A 70-year-old woman admitted with chest pain went into shock due to cardiac tamponade; 1000 mL of blood was drained from her pericardium. Enhanced computed tomography showed massive pericardial effusion and a coronary artery aneurysm in front of the main pulmonary artery. Coronary angiography revealed a coronary artery-pulmonary artery fistula and 3 giant saccular coronary artery aneurysms. Emergency surgical repair was successful.