{Reference Type}: Case Reports
{Title}: Case report: incidental finding of a giant cardiac mass.
{Author}: Surguladze G;Baduashvili A;Tamsen A;
{Journal}: Methodist Debakey Cardiovasc J
{Volume}: 10
{Issue}: 2
{Year}: Apr-Jun 2014
暂无{DOI}: 10.14797/mdcj-10-2-118
{Abstract}: Coronary artery fistula (CAF) is a rare anomalous connection between a coronary artery and another coronary artery, major vessel, or cardiac chamber. Prevalence of CAF is reportedly 1% to 2% in patients who undergo coronary angiography.1 One of the most common complications of CAF is formation of a coronary artery aneurysm (CAA). A study conducted by Said and colleagues in 1995 found that CAA formation was present in 26% of patients who had proven CAF by way of angiography.2 Although a precise definition of the term "giant" CAA is still lacking, it generally refers to a dilatation that exceeds the reference vessel diameter by four times.3 We report an interesting case of a 38-year-old patient who was incidentally found to have a presumed large right ventricular aneurysm, which after an open-heart surgery was identified as a CAF with formation of an unruptured giant CAA.