2012 Volume 52 Issue September Pages 317-320
A 33-year-old male complained of chest discomfort on exertion. Coronary CT angiogram (CTA) revealed aneurysmal right coronary artery (RCA) fistula (25 mm in diameter) to left ventricle. Reconstruction of RCA with RA/SVG composite graft under Cardiopulmonary bypass (CPB) support was successful. A 78 year-old female was referred to our hospital for assessment of heart murmur and cardiomegaly. Coronary CTA showed a giant RCA fistula (10 mm in diameter) to coronary sinus. One year later, she had dyspnea on exertion. Ligation of the drainage site was performed successfully under CPB support.