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  • Title: Cirsoid aneurysm of coronary arteries associated with arterioventricular fistula evaluated by 64-multidetector CT coronary angiography: depiction of a case.
    Author: Marrone G, Mamone G, Milazzo M, Caruso S, Baravoglia CH, Vitulo P, Gridelli B, Luca A.
    Journal: Cardiovasc Intervent Radiol; 2009 May; 32(3):539-42. PubMed ID: 18709412.
    Abstract:
    A female patient with severe pulmonary hypertension was admitted for lung transplant evaluation. As an incidental finding, the chest CT showed diffuse and dilated coronaries, not detected at previous echocardiography. A coronary CT angiography was then performed using a 64-multidetector computed tomography (MDCT) scanner to better evaluate the coronary tree. The images obtained after postprocessing demonstrated tremendously aneurysmatic and tortuous coronary arteries and the presence of a septal branch deepening into the myocardium and penetrating the right ventricle cavity, forming an abnormal arterioventricular fistula. A causal relation between the aneurysms and the fistula is suspected.
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