title: An extremely large coronary aneurysm associated with a quadricuspid aortic valve in an adult patient.
abstract: A 68-year-old woman exhibited an increasingly protruding mass on the left heart border on chest X-ray. Transthoracic echocardiography revealed an echo-free mass in the anterior pericardial space. Transesophageal echocardiography revealed blood flow from the proximal left anterior descending coronary into a large coronary artery aneurysm measuring 61 mm × 51 mm in diameter and a quadricuspid aortic valve with a small cusp between the left and right coronary cusps. Coronary angiography demonstrated the presence of a coronary aneurysm connected to the proximal left coronary anterior descending artery. A giant coronary artery aneurysm and pulmonary artery fistulas extending from the left and right coronary arteries were confirmed by surgeons and successfully treated with surgery.
authors: Department of Cardiology, Hiroshima Prefectural Hospital, Japan. okafufu@ccv.ne.jp
authors: Mitsunori
authors: M
authors: Okamoto
authors: Shunsuke
authors: S
authors: Tomomori
authors: Hiroki
authors: H
authors: Kinoshita
authors: Hiroya
authors: H
authors: Matsumura
authors: Mirai
authors: M
authors: Kinoshita
authors: Kazuyoshi
authors: K
authors: Suenari
authors: Yuichiro
authors: Y
authors: Watari
authors: Yukihiro
authors: Y
authors: Fukuda
authors: Hidekazu
authors: H
authors: Hirao
authors: Hironori
authors: H
authors: Ueda
authors: Makoto
authors: M
authors: Hamaishi
authors: Kenji
authors: K
authors: Okada
authors: Norimasa
authors: N
authors: Mitsui
authors: Makoto
authors: M
authors: Munemori
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D014463:Ultrasonography