A Giant Coronary Artery Aneurysm with Coronary Arteriovenous Fistula in Asymptomatic Elderly Patient

Figure 3

3-Tesla Cardiac Magnetic Resonance-Steady State Free Precession (SSFP) image on vertical long axis of the left ventricle: a giant capsulated intrapericardial mass is detectable (arrows), placed between the left ventricle and left atrium, with stratified calcific shells inside and an internal layer of a thick organized thrombus containing a central area of turbulent blood flow. Right atrium is morphologically grossly altered due to the extracardiac deformation.