Cardiovasc Imaging Asia.
2021 Jul;5(3):107-109. 10.22468/cvia.2021.00101.
A Case of Right Coronary Artery Fistula to Right Ventricle with Associated Aneurysm and Thrombus in Pregnant Lady
- Affiliations
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- 1Department of Radiology, Hospital Serdang, Jalan Puchong, Kajang, Selangor, Malaysia
- KMID: 2519007
- DOI: http://doi.org/10.22468/cvia.2021.00101
Abstract
- A 27-year-old pregnant female presented to our clinic for a cardiac murmur that was detected during an antenatal check-up. She had no cyanosis, and she was asymptomatic for heart failure. The echocardiogram revealed an enlarged right coronary sinus with right coronary artery (RCA) dilatation. The electrocardiographic-gated coronary computed tomography angiogram showed aneurysmal RCA dilatation with fistula to the inferobasal region of the right ventricle. A few small thrombi were visualized in the right ventricle and within the fistula. She delivered a healthy baby via caesarean section at 31 weeks of gestation, and fistula correction was planned within one year.
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