Coronary artery aneurysm with a fistulous connection to the right atrium mimicking a sinus of Valsalva aneurysm.
Coronary artery aneurysms are uncommon and may be complicated by rupture, thromboembolic phenomenon, and more rarely fistulation into one of the cardiac chambers. This case report highlights the difficulty in making a preoperative diagnosis of a coronary artery aneurysm that has fistulated into the right atrium, and lists possible differential diagnoses.
Shrivastava
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Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK. vivshriv@yahoo.com
Akowuah
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Cooper
G J
GJ
D000328:Adult; D001014:Aortic Aneurysm / Q000175:diagnosis*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006325:Heart Atria; D006801:Humans; D012850:Sinus of Valsalva; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery