Giant Aneurysm of Right Coronary Artery Fistula Into Left Ventricle Coexisting With Noncompaction of Left Ventricular Myocardium Bo Jiang, MD, Ya Yang,

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Giant Aneurysm of Right Coronary Artery Fistula Into Left Ventricle Coexisting With Noncompaction of Left Ventricular Myocardium Bo Jiang, MD, Ya Yang, MD, Fang Li, MM, Ning Ma, MD, Shan Wu, MM, Rongjuan Li, MD, Ruijuan Su, MD The Annals of Thoracic Surgery Volume 98, Issue 4, Pages e85-e86 (October 2014) DOI: 10.1016/j.athoracsur.2014.06.114 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Echocardiographic views of fistula between right coronary artery (RCA) and left ventricle (LV), and noncompaction of the ventricular myocardium (NCVM). Above, 2-dimensional view showing the whole journey of the RCA-LV fistula and NCVM. Below, corresponding color Doppler flow images. RCA increased from the beginning (A1, A2), dilated to an artery aneurysm (AA) 60 × 53 mm (B1, B2), was wriggled to a tube (C1, C2), and moved along the posterior atrial-ventricular channel into the LV through injection of a fistula (D1, D2, arrow). The ratio of noncompacted to compacted myocardial layers was 2 at end-diastole (E1, E2). (LA = left atrium; RA = right atrium.) The Annals of Thoracic Surgery 2014 98, e85-e86DOI: (10.1016/j.athoracsur.2014.06.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Multidetector computed tomographic view of fistula between right coronary artery (RCA) and left ventricle (LV), and noncompaction of the ventricular myocardium (NVCM). VR (A, B, C) and CPR (D) showing the whole dilated journey of the RCA. CPR (D) and MPR (E) showing NVCM (arrow). The RCA was dilatated at the beginning (A, D), wriggled to a long tube (B), and was injected into the LV through a fistula (C, D). The most dilated section expanded to an artery aneurysm (AA) (60 × 53 mm). (CPR = curve planar reconstruction; MPR = multiplanar reconstruction; VR = volume rendering.) The Annals of Thoracic Surgery 2014 98, e85-e86DOI: (10.1016/j.athoracsur.2014.06.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions