KMID : 1149520210050030107
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Cardiovasclar Imaging Asia 2021 Volume.5 No. 3 p.107 ~ p.109
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A Case of Right Coronary Artery Fistula to Right Ventricle with Associated Aneurysm and Thrombus in Pregnant Lady
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Talib Norain
Ramli Kama Azira Awang Mohammed Yusri
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Abstract
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A 27-year-old pregnant female presented to our clinic for a cardiac murmur that was detected during an antenatal check-up. She had no cyanosis, and she was asymptomatic for heart failure. The echocardiogram revealed an enlarged right coronary sinus with right coronary artery (RCA) dilatation. The electrocardiographic-gated coronary computed tomography angiogram showed aneurysmal RCA dilatation with fistula to the inferobasal region of the right ventricle. A few small thrombi were visualized in the right ventricle and within the fistula. She delivered a healthy baby via caesarean section at 31 weeks of gestation, and fistula correction was planned within one year.
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KEYWORD
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Coronary vessel anomalies, Multidetector computed tomography, Echocardiogram
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