title: Case report: incidental finding of a giant cardiac mass.
abstract: Coronary artery fistula (CAF) is a rare anomalous connection between a coronary artery and another coronary artery, major vessel, or cardiac chamber. Prevalence of CAF is reportedly 1% to 2% in patients who undergo coronary angiography.1 One of the most common complications of CAF is formation of a coronary artery aneurysm (CAA). A study conducted by Said and colleagues in 1995 found that CAA formation was present in 26% of patients who had proven CAF by way of angiography.2 Although a precise definition of the term "giant" CAA is still lacking, it generally refers to a dilatation that exceeds the reference vessel diameter by four times.3 We report an interesting case of a 38-year-old patient who was incidentally found to have a presumed large right ventricular aneurysm, which after an open-heart surgery was identified as a CAF with formation of an unruptured giant CAA.
authors.affiliation: Southampton Hospital, Southampton, New York.
authors.forename: George
authors.initials: G
authors.lastname: Surguladze
authors.affiliation: NewYork/Presbyterian Weill Cornell Medical Center, New York, New York.
authors.forename: Amiran
authors.initials: A
authors.lastname: Baduashvili
authors.affiliation: Southampton Hospital, Southampton, New York.
authors.forename: Ali
authors.initials: A
authors.lastname: Tamsen
mesh_terms: D000328:Adult; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: coronary artery fistula; giant coronary aneurysm; healthy; incidental finding
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