PMC5892279_01
(a) A 4-chamber view: bizarre configuration of the right ventricle (RV), large aneurysm at the apex of the RV, and the remaining functional part, bulked myocardium. (b) Modified short axis with ascending aorta in the middle, giving rise to the giant coronary artery (LCA), which drains into the right ventricular aneurysm. (c) Entire course of the coronary artery fistula and bidirectional flow in the left coronary artery.
CRIC2018-2509502.001.jpg
PMC5892279_01_CRIC2018-2509502.001.jpg
fig1
Turbulent diastolic reversed flow was detected in the aortic arch resulting from the blood steal phenomenon via CAF into the right ventricular aneurysm (Figure 1).