Right coronary artery aneurysm with fistula to left ventricle: multislice CT appearance

Journal of Thoracic Imaging
Nobusada FunabashiIssei Komuro

Abstract

A 34-year-old male presented with prior radiographic evidence of enlargement of the right side of the heart. ECG-gated enhanced multislice CT was performed. Axial source images revealed a diffuse, hugely enlarged right coronary artery (RCA) aneurysm. The distal portion of the RCA flowed directly into the left ventricle (LV), suggesting an RCA to LV fistula. 3D volume rendered images clearly revealed a huge, enlarged RCA aneurysm from the proximal, mid, and distal portions of the RCA. The distal portion of the RCA aneurysm disappeared abruptly without showing distal branching, also suggesting an RCA to LV fistula.

References

Nov 25, 2004·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Scott GottesfeldStacey E Rosen
Nov 27, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Noboru InamuraHiroaki Kawata

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Citations

Dec 25, 2007·International Journal of Cardiology·Jack P Chen, Jonathan Rodie
Jun 17, 2011·The Cochrane Database of Systematic Reviews·John BolaHaluk Soydan

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