February 1959

Congenital Coronary Arteriovenous AneurysmClinical, Angiocardiographic, and Physiologic Findings on Three Patients with Successful Surgical Correction

Author Affiliations

From the Pediatric Cardiophysiology Department of Cook County Children's Hospital, and the Hektoen Institute for Medical Research of Cook County Hospital, and the University of Illinois College of Medicine.

AMA Arch Surg. 1959;78(2):203-205. doi:10.1001/archsurg.1959.04320020025005

Congenital coronary arteriovenous aneurysm with anomalous drainage into the coronary sinus, the right atrium, the right ventricle, or the pulmonary artery is a rare malformation. The authors found 16 cases reported in the literature, 6 of which occurred in patients under 16 years of age. Of these 16 patients, 3 with a preoperative diagnosis of patent ductus arteriosus were successfully operated on. One of these three patients was operated on at Cook County Hospital, and the case was reported in The Journal.1

We wish to report an additional three cases with an aneurysmally dilated right coronary artery draining into the right ventricle.

Report of Cases 

Case 1.  —The case of a noncyanotic 7-month-old male infant was diagnosed clinically as one of arteriovenous coronary aneurysm. This diagnosis was confirmed by venous angiocardiography and cardiac catheterization. Corrective surgery was successfully accomplished.

Case 2.  —The case of a 5-year-old boy was diagnosed

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