Giant aneurysmal fistula of the left main coronary artery to the right atrium

Negar Salehi, Niloofar Samiei, Hamidreza Pouraliakbar, Ali Hossein Sabet, Anoushiravan Vakili-Zarch

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


A 42-year-old woman presented to our outpatient department with complaints of atypical chest pain and palpitation. On physical examination, the patient's blood pressure was 140/95 mm Hg, and there was a systolic cardiac murmur on the left sternal border. A transthoracic echocardiography examination was performed, and a left-to-right shunt ratio (Qp/Qs) of approximately 1.5 was detected. Computed tomography angiography and coronary angiography examinations confirmed the presence of a large fistula between the left main coronary artery and the right atrium, with giant aneurysm formation and an intact right coronary artery. Surgical closure of the shunt was performed with a good final result.

Original languageEnglish
Pages (from-to)E292-E293
JournalHeart Surgery Forum
Issue number5
StatePublished - Oct 2012
Externally publishedYes


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