PMC10103714_01
Echocardiogram of short axis view showing a bicuspid valve with increased velocity across the valve; see also at https://youtu.be/4C2kncWIOqM.
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PMC10103714_01_mdcvj-19-1-1187-g1.jpg
F1
On echocardiogram, the aortic valve area was 0.84 cm2, the mean aortic valve gradient was 75 mm Hg, and the velocity across the valve was 5.3 m/sec (Figure 1, Videos 1, 2).
Echocardiogram of short axis view showing a bicuspid valve with increased velocity across the valve; see also at https://youtu.be/4C2kncWIOqM.. Echocardiogram of long axis color Doppler view showing a bicuspid valve with severe stenosis; see also at https://youtu.be/Y4cAeFUFoPs.. Coronary angiography of fluoroscopy showing a coronary artery fistula arising from the proximal right coronary artery; see also at https://youtube.com/shorts/yZ3eEaNSuPw.. A coronary angiography of fluoroscopy showing a coronary artery fistula arising from the mid-left anterior descending artery and draining into the main pulmonary artery; see also at https://youtube.com/shorts/gHFhO8Gxb8c.
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V1
On echocardiogram, the aortic valve area was 0.84 cm2, the mean aortic valve gradient was 75 mm Hg, and the velocity across the valve was 5.3 m/sec (Figure 1, Videos 1, 2). As shown in Figures 2 and 3, the mid-LAD fistula connects to the proximal RCA fistula at the cardiac base anterior to the aortic root.
A coronary computed tomography angiography 3-dimensional (3D) reconstruction showing a coronary artery fistula arising from the left anterior descending artery joining another fistula arising from the right coronary artery, both draining into the main pulmonary artery. (A) C1: left anterior descending artery; C2: left anterior descending artery fistula; C3: right coronary artery fistula; C4: right coronary artery; C5: drainage into the pulmonary artery; C6: ectasia of the ascending aorta; (B) arrow: fistula connecting to the right coronary artery; (C) arrow: fistula connecting to the left anterior descending artery; (D) 3D reconstruction of the fistula excluding the right ventricle.
mdcvj-19-1-1187-g2.jpg
PMC10103714_01_mdcvj-19-1-1187-g2.jpg
F2
As shown in Figures 2 and 3, the mid-LAD fistula connects to the proximal RCA fistula at the cardiac base anterior to the aortic root.