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Serdar Akgun
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Eur J Cardiothorac Surg 2004;25:645
© 2004 Elsevier Science NL


Images in cardio-thoracic surgery

Concomitant aneurysms of the coronary arteries with a fistula draining into the right ventricular intramural hemangioma

Sinan Arsana*, Serdar Akguna, Ismet Dindarb

a Department of Cardiovascular Surgery, Academic Hospital, Marmara University School of Medicine Foundation, Istanbul, Turkey
b Department of Cardiology, Safak Hospital, Istanbul, Turkey

Received 1 November 2003; accepted 9 January 2004.

* Corresponding author. 37 Ada Inci-1 Blok D. 29, Atasehir, 34758, Istanbul, Turkey. Tel.: +90-216-455-9353; fax: +90-216-455-9388
e-mail: sinanarsan{at}superonline.com

Key Words: Coronary • Aneurysm • Fistula • Hemangioma

Coronary arteriography of a-72-year-old woman revealed prominent aneurysms of left main coronary, left anterior descending and right coronary arteries with a fistula from the left and right coronary systems draining into the right ventricular intramural hemangioma (Figs. 1 and 2) .



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Fig. 1. Aneurysms of left main trunk and left anterior descending artery with normal appearance of circumflex artery; arrow indicates the distal fistula tract draining into right ventricle.

 


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Fig. 2. Aneurysms of right coronary trunk and sinoatrial and conus branches draining into right ventricle.

 




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