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

Choi, BJ; Chang, HJ; Choi, SY; Choi, TY; Jung, JW; Chung, J; Yoon, MH; Hwang, GS; Shin, JH; Tahk, SJ; Choi, BI
Japanese heart journal, 45(4):697-702, 2004
Journal Title
Japanese heart journal
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.
MeSH terms
AdolescentCoronary Aneurysm/*radiography/ultrasonographyCoronary VesselsDiagnosis, DifferentialFemaleHeart AtriaHeart Neoplasms/diagnosisHumansIntracranial Aneurysm/*radiography/ultrasonographyPeptidesTomography, X-Ray Computed/*methodsVascular Fistula/*radiography/ultrasonography
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Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
AJOU Authors
최, 병주최, 소연최, 태영정, 조원윤, 명호황, 교승신, 준한탁, 승제
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