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Case reports

Surgical management of a circumflex aneurysm with fistula to the coronary sinus

^a Department of Cardio-thoracic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon
^b Department of Anesthesiology, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon

Received 4 December 2008; received in revised form 31 January 2009; accepted 16 February 2009.

^_* Corresponding author. Tel.: +961 1 615300; fax: +961 1 615295. (Email: vix{at}dm.net.lb).

We report the successful management of a circumflex coronary artery aneurysm with fistula to the coronary sinus. Our strategy aimed at closing the fistula and grafting the obtuse marginal artery. The calcified aneurysm was left intact, and showed secondary thrombus formation on the postoperative angiogram.

Key Words: Aneurysm • Coronary artery bypass graft • Coronary sinus • Fistula