Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart

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Presentation transcript:

Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart Lei Yu, MD, Enyi Shi, MD, PhD, Tianxiang Gu, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 142, Issue 4, Pages 937-939 (October 2011) DOI: 10.1016/j.jtcvs.2011.05.020 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A and B, Echocardiography revealed the dilated right coronary artery (RCA) and fistula into the coronary sinus. C and D, Multidetector computed tomography demonstrating the extremely enlarged RCA. E and F, Three-dimensional computed tomography showed large circumvolved RCA just like a snake on his heart. AO, Ascending aorta; LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; CS, coronary sinus. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 937-939DOI: (10.1016/j.jtcvs.2011.05.020) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Coronary angiography shows the enlarged right coronary artery with the fistula (arrows) originating from right coronary artery (RCA). B, Operational view. Aneurysmal RCA is seen before cardiopulmonary bypass. C, Intraoperative photograph. The coronary sinus size was reduced. D, Postoperative 3-dimensional computed tomography scan revealed the saphenous vein grafts between the aorta and left anterior descending (large arrow) and right coronary arteries (small arrow) were patent. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 937-939DOI: (10.1016/j.jtcvs.2011.05.020) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions