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Ann Thorac Surg 1993;56:372-374
© 1993 The Society of Thoracic Surgeons

Articles

Management of giant coronary artery aneurysm with fistulization into the right atrium

George Abou Eid, MD, Loic Lang-Lazdunski, MD*, Ulrik Hvass, MD, Yves Pansard, MD, Nadia Belmatoug, MD, Marc Faraggi, MD, Catherine Paillole, MD, Jean Langlois, MD

Departments of Cardiothoracic Surgery and Internal Medicine, Hôpital Bichat, Paris, France

Accepted for publication October 19, 1992.

* Address reprint requests to Dr Lang-Lazdunski, Service de Chirurgie Thorarique et Cardiovasculaire, Hôpital Bichat, 46 rue Henri-Huchard, 75018 Paris, France.

A giant right coronary artery aneurysm communicating with the right atrium is reported. Its diagnosis using echocardiography, computed tomography of the chest, and angiography is illustrated. The operative management of this rare cardiac pathology is described. The role of operation in such a large aneurysm is emphasized.




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