PMC9897952_01
Giant coronary artery aneurysm noted as mass shadow in chest X-ray (arrow).
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The patient was asymptomatic, and the giant CAA was noted as a mass shadow in her chest X-ray ( Fig. 1 ).
Preoperative coronary computed tomography of the giant coronary artery aneurysm (CAA) and coronary artery fistula (CAF). Arrows: CAF vessels. Green mass: thrombosed portion of the giant CAA lumen. PA, pulmonary artery.
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CAF with a continuous flow of 80 cm/s and mosaic pattern in the pulmonary artery, and a partially thrombosed giant CAA. Coronary computed tomography revealed the CAF to originate from branches of the right coronary artery and left anterior descending artery, entering the pulmonary artery, and a giant CAA with a maximum short axis diameter of 50 mm originating from the CAF ( Fig. 2 ).
PMC9897952_02
Postoperative coronary computed tomography. Arrows: surgical clips used to ligate coronary artery fistula.
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Postoperative course was uneventful, and she was discharged on postoperative day 16 ( Fig. 3 ).