Right coronary artery aneurysm with fistula to left ventricle: multislice CT appearance.
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.
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Inohana, Chiba, Japan. nobusada@ma.kcom.ne.jp
Nobusada
N
Funabashi
Miki
M
Asano
Issei
I
Komuro
D000328:Adult; D003287:Contrast Media / Q000008:administration & dosage; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis*; D017023:Coronary Angiography / Q000379:methods*; D004562:Electrocardiography / Q000379:methods; D005402:Fistula / Q000150:complications / Q000175:diagnosis*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D011856:Radiographic Image Enhancement / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media