A coronary artery fistula with saccular aneurysm mimicking a right atrial cystic mass

Byoung Joo Choi, Hyuk Jae Chang, So Yeon Choi, Tae Young Choi, Jo Won Jung, Jaehoon Chung, Myeong Ho Yoon, Gyo Seung Hwang, Joon Han Shin, Seung Jea Tahk, Byung Il William Choi

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2 Citations (Scopus)

Abstract

A 16 year-old Korean girl with cardiomegaly was found to have a "right atrial cystic mass" on transthoracic echocardiography. An unusual cystic structure made the diagnosis difficult. However, transesophageal echocardiography and multidetector computed tomography revealed a coronary artery fistula with a distal saccular aneurysm involving the interatrial septum and draining into the right atrium. Multidetector computed tomography provided clear anatomic visualization that fully delineated the abnormal structures. Multidetector computed tomography may be considered as a good alternative for transesophageal echocardiography in assessing a tortuous coronary artery fistula and aneurysm with complex anatomy.

Original languageEnglish
Pages (from-to)697-702
Number of pages6
JournalJapanese Heart Journal
Volume45
Issue number4
DOIs
Publication statusPublished - 2004

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Choi, B. J., Chang, H. J., Choi, S. Y., Choi, T. Y., Jung, J. W., Chung, J., Yoon, M. H., Hwang, G. S., Shin, J. H., Tahk, S. J., & Choi, B. I. W. (2004). A coronary artery fistula with saccular aneurysm mimicking a right atrial cystic mass. Japanese Heart Journal, 45(4), 697-702. https://doi.org/10.1536/jhj.45.697