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  • Title: Giant Circumflex Aneurysm With Arteriovenous Fistula Surgery Guided by Three-Dimensional Printing.
    Author: Blanco Herrera OR, Torregrosa-Puerta S, Domínguez-Massa C, Guevara-Bonilla A, Fonfria C, García JM, Valera-Martínez FJ, Montero-Argudo JA.
    Journal: Ann Thorac Surg; 2020 Jul; 110(1):e1-e4. PubMed ID: 31981501.
    Abstract:
    A giant coronary artery aneurysm is an infrequent anomaly encountered as an incidental finding. An even more rare condition is its association with a coronary artery fistula. We report the case of a 61-year-old woman that combines two of the rarest coronary anomalies: a 70-mm giant circumflex aneurysm with an arteriovenous fistula tract draining to the superior vena cava. Considering the unique display of anatomy, the surgery was guided with 3-dimensional printing technology. Direct fistula occlusion near its outflow union, orifice source closure, aneurysmal sac exclusion, and two coronary artery bypass grafts were surgically performed. The postoperative course was satisfactory.
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