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Case Reports in Vascular Medicine
Volume 2013, Article ID 847972, 3 pages
Case Report

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

1Cardio-Thoracic and Vascular Department, University Hospital of Terni, Via Tristano di Joannuccio 1, 05100 Terni, Italy
2Radiology Department, University Hospital of Terni, Via Tristano di Joannuccio 1, 05100 Terni, Italy

Received 19 August 2013; Accepted 3 October 2013

Academic Editors: N. Espinola-Zavaleta and C.-L. Hung

Copyright © 2013 Caterina Milici et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Supplementary Material

Movie 1: Transthoracic Echocardiogram (TTE), parasternal long-axis view. An intrapericardial apparently capsulated cardiac mass (max diameter 9cm) is detectable at the level of left atrial region; echogenicity inside the mass is quite irregular, with a thicker core.

Movie 2: Transthoracic Echocardiogram (TTE), subcostal view. The mass is detectable at interatrial septum level, but it doesn’t seem to be related to any cardiac structure.

Movie 3: Transesophageal echocardiogram (TEE). This exam allows a better definition of the mass, which shows a calcified regular profiled capsule and concentric areas of different echogenicity inside, with a central swirling slow flow; apparently it is in contiguity with the inferior part of the interatrial septum.

Movie 4: Coronary artery angiography (CAG) in right anterior oblique (RAO) 30° view showing a tortuous and ectasic right coronary artery with its anatomic course ending in a bulky cavity.

Movie 5: Contrast-Transthoracic Echocardiogram, performed with SonoVue (Bracco International) showing a microbubbles flow inside the vacuolated camera of the cardiac mass without any communication with pericardial effusion.

  1. Supplementary Movie 1
  2. Supplementary Movie 2
  3. Supplementary Movie 3
  4. Supplementary Movie 4
  5. Supplementary Movie 5