Two giant congenital aneurysms of the left anterior descending coronary artery with right ventricle fistula: Diagnosis based on two‐dimensional echocardiography and magnetic resonance imaging

Abstract

Congenital aneurysm of the coronary artery is rare. Two giant aneurysms on one branch of the left coronary artery with distal coronary arteriovenous fistula are even more unusual. In recent years, there are some reports on using echocardiography to diagnose coronary We flected the anteroseptal myocardial ischemia. have previously reported about the echocardiographic features of a giant congenital aneurysm of the right coronary artery.4 In this report, we describe our experience of diagnosing these congenital coronary aneurysms by using the noninvasive techniques of two-dimensional echocardiography and magnetic resonance imaging (MRI). left heart border which was suspected to be an enlarged left auricle (Figure 1). Electrocardiogram showed normal axis, sinus rhythm, occasional ventricular premature beat, and the inverted coronary T wave in AVL, V2-V6 that re- Two-dimensional echocardiography in para- CASE REPORTA 30-year-old woman presented with a continuous cardiac murmur persisting since birth and was admitted to the hospital for palpitation. Physical examination revealed a grade 216 to 316 continuous cardiac murmur without thrill at the fourth intercostal space to the left of the sternum. The continuous cardiac murmur was dominant in diastole, and was decreased by additional Valsalva's test. The blood pressure was 100/60 mm Hg. Chest roentgenogram showed a mildly enlarged cardiac shadow (cardiothoracic ratio, 52%) with slight pulmonary engorgement and light widened aortic arch. A bulgy round shadow was seen at the level of the third segment of the