Massive Congenital Bidirectional Coronary Arteriovenous Malformation Presenting with Signs and Symptoms of Congestive Heart Failure in an Adult: A Case Report and Review of the Literature
Figure 1
(a) Coronary arteriography showing a large and tortuous arteriovenous malformation originating from the left coronary sinus with a massive venous ectasia draining into the right atrium and vena cava. AV = arteriovenous. LAD = left anterior descending artery. (b) There is an aberrant circumflex artery originating from the arteriovenous malformation. AV = arteriovenous. RCx = ramus circumflex artery. LAD = left anterior descending artery.