case_images: PMC11766959_01
case_images: PMC11766959_02
case_images: TTE: 3D (left) and 2D (right) revealing two dilated and connected aneurysmal sacs in projection of heart apex.
case_images: medicina-61-00056-g001.jpg
case_images: PMC11766959_02_medicina-61-00056-g001.jpg
case_images: medicina-61-00056-f001
case_images: Following the initial transthoracic echocardiographic (TTE) assessment (Figure 1) at our institute, which identified a dilated origin of the left coronary artery (LCA) and an aneurysm at the RV apex, the patient was referred for computed tomography (CT) and CC, which confirmed the LCA dilatation and identified a markedly dilated LAD accompanied by a large 14 mm diameter fistula that communicated with a giant aneurysmal sac, measuring 45.6 x 37.3 mm, in the apical region of the heart (Figure 2 and Figure 3).
case_images: CT angiography revealing large fistula communicating with aneurysmal sac.
case_images: medicina-61-00056-g002.jpg
case_images: PMC11766959_02_medicina-61-00056-g002.jpg
case_images: medicina-61-00056-f002
case_images: Following the initial transthoracic echocardiographic (TTE) assessment (Figure 1) at our institute, which identified a dilated origin of the left coronary artery (LCA) and an aneurysm at the RV apex, the patient was referred for computed tomography (CT) and CC, which confirmed the LCA dilatation and identified a markedly dilated LAD accompanied by a large 14 mm diameter fistula that communicated with a giant aneurysmal sac, measuring 45.6 x 37.3 mm, in the apical region of the heart (Figure 2 and Figure 3).
case_images: CT angiography focusing on coronary artery and fistula.
case_images: medicina-61-00056-g003.jpg
case_images: PMC11766959_02_medicina-61-00056-g003.jpg
case_images: medicina-61-00056-f003
case_images: Following the initial transthoracic echocardiographic (TTE) assessment (Figure 1) at our institute, which identified a dilated origin of the left coronary artery (LCA) and an aneurysm at the RV apex, the patient was referred for computed tomography (CT) and CC, which confirmed the LCA dilatation and identified a markedly dilated LAD accompanied by a large 14 mm diameter fistula that communicated with a giant aneurysmal sac, measuring 45.6 x 37.3 mm, in the apical region of the heart (Figure 2 and Figure 3).