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Multiple giant right coronary artery aneurysms associated with a fistula to the left ventricular
  1. Liang Tang,
  2. Zhen-fei Fang,
  3. Sheng-hua Zhou
  1. Department of Cardiology, The Second Xiangya Hospital of Central South University, Chang sha, Hunan, China
  1. Correspondence to Dr Sheng-hua Zhou, Department of Cardiology, The Second Xiangya Hospital of Central South University, No.139, Middle Ren-Min Road, Changsha, Hunan 410011, China; zhougqin{at}

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A 49-year-old man presented with progressive exertional dyspnoea associated with palpitations for 4 months’ duration. Physical examination was notable for marked jugular venous distention and a to-and-fro murmur was heard at the apex. A chest x-ray showed significant cardiomegaly with a bulging contour over the right cardiac border (figure 1A). Transthoracic echocardiography revealed the right coronary artery (RCA) was obviously dilated with a huge aneurysm and a fistula draining into the LV, moreover, the right heart chamber was significantly …

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  • Contributors LT wrote the manuscript, Z-fF was the attending doctor responsible for the treatment and performed the coronary angiography for this patient, and S-hZ revised the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • ▸ Additional material is published online only. To view please visit the journal online (