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Saccular aneurysm of congenital coronary arteriovenous fistula

^a Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi-515 134, India
^b Department of Cardiac Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi-515 134, India

^* Corresponding author. SCTIMST, Trivandrum-695 011, India. Tel.: +91-471-2555532; fax: +91-471-2446433
saikm{at}sctimst.ker.nic.in

A rare aneurysm of a congenital coronary arteriovenous fistula is reported. Echocardiography showed a dilated left coronary and left circumflex artery with normal left anterior descending artery. A dilated structure near the crux was confirmed to be a large aneurysm of circumflex coronary artery on selective angiography. It drained into the posterior right atrial wall. Under cardiopulmonary bypass, the drainage site was identified and directly closed from within the right atrium. Fistula was ligated at origin. The diagnostic and different treatment modalities are reviewed.

Key Words: Aneurysm; Congenital; Coronary arteries; Fistula

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