Li Jianglan, Chen Zhuo, Xie Liping, Xiao Xiaorong, Luo Yanlin
Ultrasound Department, Shaoyang Central Hospital, Hunan Province 422000, China.
Echocardiography Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Am Heart J Plus. 2025 Aug 13;58:100590. doi: 10.1016/j.ahjo.2025.100590. eCollection 2025 Oct.
Coronary artery-to-pulmonary artery fistula (CPAF) complicated by giant coronary aneurysms is an exceedingly rare anomaly, with limited clinical experience.
A 77-year-old woman with CPAF and giant aneurysms was diagnosed via multimodal imaging and effectively treated with stent-assisted coil embolization, underscoring its value in high-risk patients.
A comprehensive review outlines the key aspects of CPAFs with aneurysms and underscores the importance of tailored management. Although rare, CPAF with giant aneurysms poses a significant risk of rupture or ischemia. Timely diagnosis and tailored interventional management can lead to favorable outcomes.