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KMID : 1103720200810010213
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Journal of the Korean Society of Radiology
2020 Volume.81 No. 1 p.213 ~ p.218
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Giant Intramyocardial Aneurysm in a Patient with Intercoronary Communication between the Left Circumflex Artery and Right Coronary Artery: A Case Report
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Lee Yu-Hyun
Park Noh-Hyuck
Park Ji-Yeon
Kim Seon-Jeong
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Abstract
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Coronary artery aneurysm is a rare disease. It occurs in the epicardial space, mostly along the course of major coronary arteries. Here, we report a case of a giant incidental aneurysm embedded in the basal posterior wall of the left ventricle. A 43-year-old woman was referred to our institution for the evaluation of cardiac palpitations that had been present from the previous 2 months. She reported no medical history (such as Kawasaki's disease or hypertension) or previous operative history. Echocardiogram and subsequent cardiac CT revealed a giant aneurysm in the left ventricle, with a direct fistulous connection to a dilated and tortuous left circumflex artery, which showed direct communication with the straight right coronary artery.
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KEYWORD
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Coronary Vessel Anomalies, Coronary Artery Disease, Coronary Aneurysm, Multidetector Computed Tomography
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