{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T19:28:25Z","timestamp":1746732505063,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T00:00:00Z","timestamp":1661040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T00:00:00Z","timestamp":1661040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Aneurysm of a coronary artery branch with a fistula is extremely rare. Here, we present a case of giant aneurysm of the left circumflex artery branch with a fistula to the coronary sinus treated successfully with aneurysmectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 58-year-old woman was referred to our hospital due to an abnormal pericardial mass found by multidetector computed tomography. Imaging examination revealed a dilated left circumflex artery branch with a 30-mm aneurysm. Coronary angiography confirmed a left circumflex artery branch aneurysm with a fistula to the coronary sinus. As percutaneous occlusion of the aneurysm by catheterization was considered unsuccessful, the aneurysm was resected, and the fistula was occluded surgically with excellent outcome. Pathological examination suggested that congenital factors may have contributed to the development of the aneurysm. Computed tomography showed no recurrence of the aneurysm at 1-year postoperative follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We presented a case of giant aneurysm of the left circumflex artery branch with a fistula to the coronary sinus. This is the first report of the combination of a giant coronary artery branch aneurysm with a fistula to the coronary sinus. Surgical aneurysmectomy should be considered in such cases to avoid fatal aneurysmal complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-022-01950-3","type":"journal-article","created":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T17:02:42Z","timestamp":1661101362000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Giant aneurysm of left circumflex artery branch with fistula to the coronary sinus: a case report"],"prefix":"10.1186","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6727-3511","authenticated-orcid":false,"given":"Yasuyuki","family":"Toyoda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Takemura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Shiratori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshikazu","family":"Yazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Tachibana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirokazu","family":"Niitsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kunihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,21]]},"reference":[{"key":"1950_CR1","first-page":"258","volume":"5","author":"H Hirose","year":"1999","unstructured":"Hirose H, Amano A, Yoshida S, Nagao T, Sunami H, Takahashi A, et al. Coronary artery aneurysm associated with fistula in adults: collective review and a case report. Ann Thorac Cardiovasc Surg. 1999;5:258\u201364.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"1950_CR2","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1161\/01.CIR.24.2.171","volume":"24","author":"HN Neufield","year":"1961","unstructured":"Neufield HN, Lester RG, Adams P Jr, Anderson RC, Lilleheri CW, Edwards JE. Congenital communication of coronary artery with a cardiac chamber or the pulmonary trunk (\u201ccoronary artery fistula\u2019\u2019). Circulation. 1961;24:171\u20139. https:\/\/doi.org\/10.1161\/01.CIR.24.2.171.","journal-title":"Circulation"},{"key":"1950_CR3","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1161\/01.CIR.28.6.1143","volume":"28","author":"JH Habermann","year":"1963","unstructured":"Habermann JH, Howard ML, Johnson ES. Rupture of the coronary sinus with hemopericardium: a rare complication of coronary arteriovenous fistula. 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Gen Thorac Cardiovasc Surg. 2020;68:1196\u20138. https:\/\/doi.org\/10.1007\/s11748-019-01247-8.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"1950_CR7","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1177\/0218492313478627","volume":"22","author":"M Almansori","year":"2014","unstructured":"Almansori M, Tamim M. Giant coronary artery fistula. Asian Cardiovasc Thorac Ann. 2014;22:595\u20137. https:\/\/doi.org\/10.1177\/0218492313478627.","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"1950_CR8","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.case.2017.12.004","volume":"2","author":"NFA Edwards","year":"2018","unstructured":"Edwards NFA, Wijesekera VA, Anderson BA, Habibian M, Burstow DJ, Walters DL, et al. A rare case of a giant coronary sinus with focal aneurysm secondary to multiple fistulous connections arising from a dilated, tortuous left circumflex coronary artery. CASE (Phila). 2018;2:99\u2013102. https:\/\/doi.org\/10.1016\/j.case.2017.12.004.","journal-title":"CASE (Phila)"},{"key":"1950_CR9","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1007\/s00380-012-0279-9","volume":"28","author":"S Yoshino","year":"2013","unstructured":"Yoshino S, Minagoe S, Yu B, Kosedo I, Yamashita M, Ishizawa M, et al. Cardiac tamponade due to rupture of coronary artery fistula to the coronary sinus with giant aneurysm of coronary artery: usefulness of transthoracic echocardiography. Heart Vessels. 2013;28:536\u201340. https:\/\/doi.org\/10.1007\/s00380-012-0279-9.","journal-title":"Heart Vessels"},{"key":"1950_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ehjcr\/ytab121","volume":"5","author":"LI El Nihum","year":"2021","unstructured":"El Nihum LI, Thakkar AN, Chinnadurai P, Lin CH. Successful coil embolization of a large right coronary artery-coronary sinus fistula causing a significant left-to-right shunt: a case report. Eur Heart J Case Rep. 2021;5:1\u20135. https:\/\/doi.org\/10.1093\/ehjcr\/ytab121.","journal-title":"Eur Heart J Case Rep"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-01950-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-022-01950-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-01950-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T17:02:49Z","timestamp":1661101369000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-022-01950-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,21]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1950"],"URL":"https:\/\/doi.org\/10.1186\/s13019-022-01950-3","relation":{},"ISSN":["1749-8090"],"issn-type":[{"type":"electronic","value":"1749-8090"}],"subject":[],"published":{"date-parts":[[2022,8,21]]},"assertion":[{"value":"1 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This was a case report and the requirement for approval from the Institutional Review Board of Saku Central Hospital Saku Sogo Byoin was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient provided informed consent for the publication of this report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"197"}}