摘要
Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume overload. We report a case of a 53 years old female presenting with dyspnea on exertion, orthopnea and angina. Echocardiography and computed tomography are suggestive of a fistulous communication of RCA to CS with aneurysm of RCA. Patient was treated surgically and is asymptomatic after three years of follow up.
Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume overload. We report a case of a 53 years old female presenting with dyspnea on exertion, orthopnea and angina. Echocardiography and computed tomography are suggestive of a fistulous communication of RCA to CS with aneurysm of RCA. Patient was treated surgically and is asymptomatic after three years of follow up.
