Case report details surgical management of a rare coronary anomaly in a young adult, highlighting the importance of early imaging and intervention.
Key Points
The case presents a rare combination of sinus node artery aneurysm and right coronary artery aneurysm with an atrial fistula.
A 23-year-old male experienced exertional dyspnea; imaging revealed a significant coronary fistula and marked right atrial dilation.
Surgical correction involved closing the atrial fistulous orifice while preserving the sinus node artery without reconstructing the right coronary artery.
Early diagnosis and intervention are crucial to prevent complications from this unusual cardiac anomaly, supporting the need for multimodal imaging.