{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:27Z","timestamp":1753877067641,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T00:00:00Z","timestamp":1625702400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A coronary artery fistula is a rare condition caused by abnormal coronary artery embryological development. Although most cases are asymptomatic, in some, the large shunt volume and the myocardial ischemia due to the steal phenomenon require surgical treatment. We present the case of a 40-year-old woman who presented with angina on exertion. Enhanced computed tomography showed a giant right coronary artery (RCA) aneurysm with an RCA-to-right atrium fistula. Because of the presence of symptoms and the presence of large fistulous tract, the patient was considered a surgical candidate. The procedure was performed under cardiopulmonary bypass. Ligation and closure of the fistula were performed in combination with dissection of the enlarged main trunk of the RCA and coronary artery bypass using the internal thoracic artery because of its potential for long-term patency. The postoperative course was uneventful.<\/jats:p>","DOI":"10.1093\/jscr\/rjab286","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T11:10:35Z","timestamp":1623928235000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical repair of a right coronary aneurysm with a coronary artery fistula to the right atrium"],"prefix":"10.1093","volume":"2021","author":[{"given":"Shigeki","family":"Yokoyama","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanetsugu","family":"Nagao","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiko","family":"Higashida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeyuki","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akio","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Doi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Fukahara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,7,8]]},"reference":[{"key":"2021071003175649600_ref1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijcard.2005.01.067","article-title":"Coronary artery fistulas: clinical and therapeutic considerations","volume":"107","author":"Gowda","year":"2006","journal-title":"Int J Cardiol"},{"key":"2021071003175649600_ref2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/1749-8090-9-87","article-title":"Congenital coronary artery fistulae: a rare cause of heart failure in adults","volume":"9","author":"Geller","year":"2014","journal-title":"J Cardiothorac Surg"},{"key":"2021071003175649600_ref3","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ijcard.2003.04.057","article-title":"Left anterior descending coronary artery-left ventricular fistula presenting as unstable angina and syncope","volume":"96","author":"Papazoglou","year":"2004","journal-title":"Int J Cardiol"},{"key":"2021071003175649600_ref4","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s11748-020-01488-y","article-title":"Rupture of aneurysmal coronary-to-pulmonary artery fistula in a 96-year-old female; report of a case","volume":"69","author":"Murakami","year":"2021","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2021071003175649600_ref5","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1111\/chd.12392","article-title":"Characteristics of congenital coronary artery fistulas complicated with infective endocarditis: analysis of 25 reported cases","volume":"11","author":"Said","year":"2016","journal-title":"Congenit Heart Dis"},{"key":"2021071003175649600_ref6","doi-asserted-by":"crossref","first-page":"W237","DOI":"10.2214\/AJR.13.11613","article-title":"Prevalence and types of coronary artery fistulas detected with coronary CT angiography","volume":"203","author":"Lim","year":"2014","journal-title":"AJR Am J Roentgenol"},{"key":"2021071003175649600_ref7","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1161\/01.CIR.47.1.133","article-title":"Coronary arterial-right heart fistulae. Long-term observations in seven patients","volume":"47","author":"Jaffe","year":"1973","journal-title":"Circulation"},{"key":"2021071003175649600_ref8","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s10554-010-9718-9","article-title":"Complex coronary artery fistulas in adults: evaluation with multidetector computed tomography","volume":"26","author":"Seon","year":"2010","journal-title":"Int J Cardiovasc Imaging"},{"key":"2021071003175649600_ref9","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0003-4975(00)01862-2","article-title":"Coronary artery fistulas: long-term results of surgical correction","volume":"71","author":"Cheung","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"2021071003175649600_ref10","first-page":"271","article-title":"Coronary artery anomalies--current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines","volume":"29","author":"Angelini","year":"2002","journal-title":"Tex Heart Inst J"},{"key":"2021071003175649600_ref11","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/j.1540-8191.2002.tb01195.x","article-title":"Surgical treatment of congenital coronary artery fistulas: 27 years\u2019 experience and a review of the literature","volume":"17","author":"Kamiya","year":"2002","journal-title":"J Card Surg"},{"key":"2021071003175649600_ref12","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/S0735-1097(02)01742-4","article-title":"Management of coronary artery fistulae. Patient selection and results of transcatheter closure","volume":"39","author":"Armsby","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"2021071003175649600_ref13","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1536\/ihj.16-627","article-title":"Surgical treatment of coronary to pulmonary artery fistulas in adults","volume":"58","author":"Lee","year":"2017","journal-title":"Int Heart J"},{"key":"2021071003175649600_ref14","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1186\/s13019-020-01329-2","article-title":"Off pump surgical epicardial closure of left anterior descending to pulmonary artery fistula","volume":"15","author":"Knop","year":"2020","journal-title":"J Cardiothorac Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/7\/rjab286\/38884522\/rjab286.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/7\/rjab286\/38884522\/rjab286.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T07:00:41Z","timestamp":1625900441000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab286\/6317636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,1]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab286","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2021,7]]},"published":{"date-parts":[[2021,7,1]]},"article-number":"rjab286"}}