Multimodality Imaging of Giant Coronary Aneurysm and Spontaneous Thrombosis With Left Coronary Artery‐Right Atrium Fistula

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Main Authors: Minjie Wan, Wei He, Min Ye, Jiantao Chen, Fengjuan Yao, Jingwei Zhang
Format: Artículo Open Access
Published: Wiley 2026
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author Minjie Wan
Wei He
Min Ye
Jiantao Chen
Fengjuan Yao
Jingwei Zhang
author_facet Minjie Wan
Wei He
Min Ye
Jiantao Chen
Fengjuan Yao
Jingwei Zhang
Minjie Wan
Wei He
Min Ye
Jiantao Chen
Fengjuan Yao
Jingwei Zhang
collection Wiley Open Access
contents Multimodality Imaging of Giant Coronary Aneurysm and Spontaneous Thrombosis With Left Coronary Artery‐Right Atrium Fistula Minjie Wan Wei He Min Ye Jiantao Chen Fengjuan Yao Jingwei Zhang Echocardiography ABSTRACT Coronary artery fistulas (CAF) are rare and can be subdivided into coronary‐cameral fistulas and coronary arteriovenous fistulas. The majority of these fistulae drain into the right atrium or the pulmonary artery. The right coronary artery (RCA) is the most common site for CAF, accounting for approximately 55% of cases, followed by the left coronary artery(LCA ) (35%). Usually, CAF are discovered accidentally for no unique features and symptoms. However, symptoms such as myocardial ischemia, heart failure, and arrhythmias may appear when the patient has a large shunt volume. Given the presence of high‐risk factors such as aneurysm rupture, thrombosis, and atrial fibrillation (AF), surgical intervention was performed on this patient. 10.1111/echo.70421 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/echo.70421
format Artículo Open Access
id wiley_oa_10_1111_echo_70421
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2026
publisher Wiley
record_format wiley_oa
spellingShingle Multimodality Imaging of Giant Coronary Aneurysm and Spontaneous Thrombosis With Left Coronary Artery‐Right Atrium Fistula
Minjie Wan
Wei He
Min Ye
Jiantao Chen
Fengjuan Yao
Jingwei Zhang
Echocardiography
Multimodality Imaging of Giant Coronary Aneurysm and Spontaneous Thrombosis With Left Coronary Artery‐Right Atrium Fistula Minjie Wan Wei He Min Ye Jiantao Chen Fengjuan Yao Jingwei Zhang Echocardiography ABSTRACT Coronary artery fistulas (CAF) are rare and can be subdivided into coronary‐cameral fistulas and coronary arteriovenous fistulas. The majority of these fistulae drain into the right atrium or the pulmonary artery. The right coronary artery (RCA) is the most common site for CAF, accounting for approximately 55% of cases, followed by the left coronary artery(LCA ) (35%). Usually, CAF are discovered accidentally for no unique features and symptoms. However, symptoms such as myocardial ischemia, heart failure, and arrhythmias may appear when the patient has a large shunt volume. Given the presence of high‐risk factors such as aneurysm rupture, thrombosis, and atrial fibrillation (AF), surgical intervention was performed on this patient. 10.1111/echo.70421 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Multimodality Imaging of Giant Coronary Aneurysm and Spontaneous Thrombosis With Left Coronary Artery‐Right Atrium Fistula
topic Echocardiography
url https://onlinelibrary.wiley.com/doi/10.1111/echo.70421