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Case Reports

Incidental Finding of a Giant Cardiac Mass

Authors:

George Surguladze ,

Southampton Hospital, Southampton, New York, US
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D.O.
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Amiran Baduashvili,

NewYork/Presbyterian Weill Cornell Medical Center, New York, New York, US
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M.D.
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Ali Tamsen

Southampton Hospital, Southampton, New York, US
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M.D.
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Abstract

Coronary artery fistula (CAF) is a rare anomalous connection between a coronary artery and another coronary artery, major vessel, or cardiac chamber. Prevalence of CAF is reportedly 1% to 2% in patients who undergo coronary angiography.1 One of the most common complications of CAF is formation of a coronary artery aneurysm (CAA). A study conducted by Said and colleagues in 1995 found that CAA formation was present in 26% of patients who had proven CAF by way of angiography.2 Although a precise definition of the term “giant” CAA is still lacking, it generally refers to a dilatation that exceeds the reference vessel diameter by four times.3 We report an interesting case of a 38-year-old patient who was incidentally found to have a presumed large right ventricular aneurysm, which after an open-heart surgery was identified as a CAF with formation of an unruptured giant CAA.

How to Cite: 1. Surguladze G, Baduashvili A, Tamsen A. Incidental Finding of a Giant Cardiac Mass. Methodist DeBakey Cardiovascular Journal. 2014;10(2):118-120. DOI: http://doi.org/10.14797/mdcj-10-2-118
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Published on 01 Apr 2014.
Peer Reviewed

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