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(Circulation. 1997;95:2170-2171.)
© 1997 American Heart Association, Inc.

Articles

Bilateral Congenital Coronary Arteriovenous Fistulas With Giant Aneurysms

Won Ro Lee, MD; June Soo Kim, MD; Jeung Euy Park, MD; Duk Kyung Kim, MD

From the Samsung Medical Center, Seoul, Korea.

Correspondence to Won Ro Lee, MD, Samsung Medical Center, Seoul, Korea 135-230.

	Introduction

Top Introduction

 
Chest radiographs (A and B) from a 63-year-old asymptomatic woman with a loud continuous cardiac murmur over the mid–left parasternal area demonstrate two anteriorly located, round, calcified paracardiac masses (arrows) along the courses of the coronary arteries, measuring 52 mm (a1) and 35 mm (a2) in diameter, respectively. Mild cardiomegaly is also noted. A selective right coronary arteriogram (C) reveals that the right-side mass (a2) is a giant aneurysm of a congenital coronary arteriovenous fistula arising from the right coronary artery (RCA). A selective left coronary arteriogram (D) confirms that the left-side mass (a1) is a giant aneurysm of a congenital coronary arteriovenous fistula arising from a branch of the left anterior descending coronary artery (LAD). Both congenital coronary arteriovenous fistulas drain into the pulmonary trunk (PT). CX indicates circumflex coronary artery.

View larger version (225K): [in this window] [in a new window]   Figure 1A.

	Footnotes

 
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC 4-265, Houston, TX 77030.

This Article Extract Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Lee, W. R. Articles by Kim, D. K. Search for Related Content PubMed PubMed Citation Articles by Lee, W. R. Articles by Kim, D. K.