Coronary venous aneurysms and accessory atrioventricular connections.
Department of Paediatrics, Cardiothoracic Institute, London.
Histological investigation of a heart with aneurysmal malformation of the anterior cardiac vein showed atypical accessory atrioventricular pathways that could have been the basis for bypass tracts and ventricular pre-excitation. Review of other cases with coronary sinus or venous aneurysms showed a striking association with sudden death. Such malformations may not be as benign as previously thought.
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