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Right coronary artery fistula to left ventricle complicated with huge coronary artery aneurysm. 2011
Jia Wei, and
Ying Shu, and
Xiang Wei, and
Jiarong Tang, and
Jiangtao Yan, and
Hesong Zeng, and
Katherine Cianflone, and
Dao Wen Wang
Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Huazhong, China.
Congenital coronary artery fistula (CAF) with huge coronary artery aneurysm is a very rare condition. In this paper, we describe a 26-year-old asymptomatic male patient with right coronary artery (RCA) to the left ventricle fistula with a huge coronary artery aneurysm which was diagnosed by multidetector computed tomography and coronary angiography. The patient received surgical treatment for coronary artery after diagnosis. Both RCA and a giant aneurysm were excised; surgical closure of CAF and coronary artery bypass grafting were performed on this patient. Two months after surgery, the enlarged left ventricle returned to normal as evaluated by echocardiography.
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