case_images: PMC10982067_01
case_images: Visual Depictions of Cardiac Anomalies and Lesions. This figure presents a series of illustrations highlighting various cardiac anomalies and lesions identified in the patient. (A) An electrocardiogram showcasing a complete right bundle branch block, illustrating the electrical conduction abnormalities within the heart. (B) An anatomical illustration of the fistula forming a connection between the right coronary artery and the right atrium, as denoted by the white arrow, providing a visual understanding of the abnormal vascular communication. (C) Coronary angiography images displaying a diffuse-type lesion characterized by 50-60% stenosis within the mid-segment of the left anterior descending artery, with the area of stenosis indicated by the white arrow. (D) A depiction of significant 99% stenosis located in the proximal segment of the posterior branch of the left ventricle, positioned anterior to the fistula, as highlighted by the white arrow, underscoring the severity of the arterial narrowing.
case_images: IMCRJ-17-227-g0001.jpg
case_images: PMC10982067_01_IMCRJ-17-227-g0001.jpg
case_images: f0001
case_images: Initial electrocardiography (ECG) showcased a complete right bundle branch block (RBBB) (Figure 1A). Notably, a conspicuous fistula was observed at the terminal segment of the posterior branch of the left ventricle, terminating in the left atrium (Figure 1B). Additionally, a diffuse-type lesion, demonstrating 50-60% stenosis, was identified in the mid-segment of the left anterior descending artery (LAD) (Figure 1C). A significant lesion, exhibiting 99% stenosis, was located in the proximal segment of the posterior branch of the left ventricle, proximal to the fistula that connects the right coronary artery with the right atrium (Figure 1D).